Forms and Publications
Complaint Information
- General Complaint Information
- Fill in and Print a Complaint Form in English
- Fill in and Print a Complaint Form in Spanish
- File a Complaint Electronically to the Department of Consumer Affairs
Forms
- Application for Continuing Medical Education Waiver
- Application for PA Licensure
- Arrest, Criminal Action, Conviction and Disciplinary Action Reporting
- Change of Address
- Change of Address – BreEZe
- Change of Name
- Customer Service Satisfaction Survey
- Delegation of Services Agreement (editable version - must have Microsoft Word)
- Duplicate License Request
- Fingerprint Card Request
- Health Facility/Peer Review Reporting Form (805)
- License Renewal Application
- Online Application for PA Licensure
- Live Scan Service
- Online License Renewal
- PA5 – License Application Attestation
- PA6 – Training Program Certification
- PA7 – License Verification
- PA8 – Birth Month Licensure
- Request for Inactive License Status
Informational Bulletins
- Drug Orders by Physician Assistants
- End of Life Options Act
- Licensure Requirements For International Medical Graduates
- Medical Marijuana Information
- Physician Assistants Assisting Podiatrists
- Physician Assistant Scope of Practice
- Physician Assistants Signing for Drug Samples
- Reporting Requirements for Lost or Stolen Prescription Pads
- Supervision of Medical Assistants by Physician Assistants
- What is A PA?
- ¿Qué es un asociado médico? (Spanish translation of What Is A Physician Assistant?)
Publications
- Physician Assistant Board 2016 Sunset Review Report
- Physician Assistant Committee's 2012 Sunset Review Report
- Activity Reports
- Strategic Plan
- Drug and Alcohol Diversion Program
- Laws and Regulations
- Test Your Knowledge of PA Laws and Regulations
- Model Disciplinary Guidelines
- Medical Board of California Newsletter
