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Department of Consumer Affairs - Physician Assistant Board
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Applicants

Application Instructions – General Information

  • Application Instructions and General Information
  • Physician Assistant Application for Licensure (Paper format)
  • Online Physician Assistant Application for Licensure (BreEZe)

Documents Supporting the Physician Assistant Application for Licensure

  • Birth Month Licensure Request Form
  • Fingerprint Card Information; Sample Fingerprint Card
  • Live Scan Locations
  • Licensure Attestation Form
  • National Practitioner Data Bank Self-Query Report
  • Physician Assistant National Certifying Examination (NCCPA)
  • Physician Assistant Training Program Certification
  • Request for Live Scan Service Form
  • Verification of Licensure Form

Additional Information

  • Accredited Training Programs
  • Address Change
  • Application Denial Information
  • Application Processing Timeframes
  • Approved Training Programs
  • Career Information
  • Controlled Substance Education Course Information
  • Customer Service Satisfaction Survey
  • Expedite Requirements for Military Personnel
  • Fee Schedule
  • Frequently Asked Questions
  • Join the Board's Email Subscribers List
  • Health Professions Education Foundation - Scholarships and Loan Repayments for Health Professionals
  • Laws and Regulations
  • Name Change

Useful Publications

  • Licensure Requirements for International Medical Graduates
 
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