WVBOM

Over the past year the Board of Medicine has been working with the Federation of State Medical Boards to make available the Uniform Application process to those physicians seeking Medical Licensure in West Virginia. The Uniform Application is an online process which permits physicians to incorporate information and documentation from their FCVS verification packet if they have developed one. For a onetime fee it also permits the application information to be stored, if the applicant chooses, so that it can be utilized for licensing applications in other states.

After many months of work and upon the recommendation of the Licensure Committee, the Board at its May 20,2013, meeting gave final approval to adopt the Uniform Application for West Virginia.

The Uniform Application may be used by initial applicants for a permanent medical license and those physicians seeking reactivation of their previously held West Virginia license that has been expired for more than one year.

You may access the Uniform Application by clicking below.

Click on the “Start Here” link below to start your Uniform Application.

DRUG DISPENSING APPLICATION FORM FOR PERIOD ENDING JUNE 30, 2013

OSTEOPATHIC DOCTORS

Please contact the Board of Osteopathic Medicine at http://www.wvbdosteo.org/ ; wvbeosteo@wv.gov or by phone at 304.558.6095 for licensing information.

PHYSICIAN ASSISTANTS

PHYSICIAN ASSISTANT INITIAL LICENSE APPLICATION

PHYSICIAN ASSISTANT CHANGE OR ADDITION OF SUPERVISING PHYSICIAN(S) AND OR CHANGE OR ADDITION OF JOB LOCATION(S)

PRESCRIPTIVE WRITING PRIVILEGE APPLICATION

REINSTATEMENT APPLICATION AND TEMP LICENSE APPROVAL

This application is for Physician Assistants whose license has been expired or terminated for less than a year.

Physician assistants may now seek temporary licensure approval while awaiting action upon a completed reinstatement application. If you are seeking temporary approval while your reinstatement application is pending, please make sure to indicate this request on your application and enclose the temporary license fee of $50.00 with your application. This fee is in addition to the reinstatement application fee.

MEDICAL CORPORATIONS

MEDICAL CORPORATION APPLICATION FORM

MEDICAL CORPORATION RENEWAL FORM

P.L.L.C.'S

P.L.L.C. APPLICATION FORM

P.L.L.C. RENEWAL FORM

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