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
