Application Instructions for an Initial Physician Assistant License

The Physician Assistant Board will expedite the application review, with the required documentation, for:

  • Active Duty Military
  • Military Veteran – Honorably Discharged
  • Active Duty Military – Spouses or Partner

For information on this process, please click here.

PLEASE REVIEW THE INFORMATION ON THE APPLICATION AND GENERAL INSTRUCTION PAGES CAREFULLY PRIOR TO COMPLETING THE APPLICATION FORMS AND REQUESTING SUPPORTING DOCUMENTS.

PLEASE ALLOW THE BOARD 30 DAYS TO PERFORM AN INITIAL REVIEW BEFORE CONTACTING THE BOARD FOR AN UPDATE ON AN APPLICATION STATUS.

Applications will be returned if the Personal Information section is incomplete or if the appropriate licensing fees are not included.

In addition to submitting the paper application, the following items MUST be submitted to the Board by mail:

  1. Form PA6 – Physician Assistant Training Program Certification.
  2. Form PA7 – Verification of Licensure as a Physician Assistant or Other Healthcare Professional, if applicable.
    This is a courtesy verification form to initiate the request to verify a license; the Board will accept other states’ verification letters.
  3. Form PA8 – Birth Month Licensing Request, if applicable.
  4. PANCE Score
    Please visit www.nccpa.net to authorize the NCCPA to release your score electronically to the Board. California does not require physician assistants to be NCCPA certified in order to practice in California; therefore, licensing is based on the PANCE score. Certification letters and PANRE score letters will not be accepted.
  5. National Practitioner Data Bank Report
    Please visit www.npdb.hrsa.gov to submit a self-query report request. Please mail the original sealed report to the Board; PDF versions of the report will not be accepted.
  6. A completed Live Scan Service form or two completed fingerprint cards. Additional information regarding fingerprint card processing is available at
    https://www.dca.ca.gov/webapps/pac/fp_requests.php.

As an applicant, you are personally responsible for all information disclosed on your application, including any responses that may have been completed on your behalf by others. An application may be denied based upon falsification or misrepresentation of any item or response on the application or any attachment.

Click on the icon below to fill in and print the initial application.

Application for Initial PA Licensure