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Midwifery - Application Wizard

Please choose one of the following:

I want to apply for a Midwife license

I want to reactivate a Current Inactive Status Midwife license

I want to reinstate a lapsed or expired midwife license.

   

Please choose one of the following:

I have not been licensed, certified or registered as a midwife in another jurisdiction

I have been licensed, certified or registered as a midwife in another jurisdiction

   

This application is a PDF form that will need to be printed, filled out and sent to:

Virginia Board of Medicine
Perimeter Center
9960 Mayland Drive, Suite 300
Henrico, Virginia 23233-1463

What you'll need in order to apply:

  • Review the full set of Laws and Regulations regarding the practice of Midwifery in the state of Virginia
  • Carefully read through the application instructions
  • Current certification as a CPM. Request a copy of your certification of credentials from the American Registry of Midwives
  • Fill out the paper application from the Forms page and send to the Board along with applicable fees.
image of midwife with patient

This application is a PDF form that will need to be printed, filled out and sent to:

Virginia Board of Medicine
Perimeter Center
9960 Mayland Drive, Suite 300
Henrico, Virginia 23233-1463

What you'll need in order to apply:

  • Review the full set of Laws and Regulations regarding the practice of Midwifery in the state of Virginia
  • Carefully read through the application instructions
  • Current certification as a CPM. Request a copy of your certification of credentials from the American Registry of Midwives.
  • If you have had any malpractice suits brought against you in the last 10 years, complete Form A – Claims History
  • Forward Form C- Jurisdiction Clearance, to all jurisdictions where you have been licensed, certified or registered.
  • Fill out the paper application Forms page and send to the Board along with applicable fees.
image of midwife with patient

This application is a PDF form that will need to be printed, filled out and sent to:

Virginia Board of Medicine
Perimeter Center
9960 Mayland Drive, Suite 300
Henrico, Virginia 23233-1463

What you'll need in order to apply:

  • Review the full set of Laws and Regulations regarding the practice of Midwifery in the state of Virginia.
  • Carefully read through the application instructions.
  • Current certification as a CPM. Request a copy of your certification of credentials from the American Registry of Midwives.
  • Fill out the paper application from the Forms page and send to the Board along with applicable fees.
image of midwife with patient

This application is a PDF form that will need to be printed, filled out and sent to:

Virginia Board of Medicine
Perimeter Center
9960 Mayland Drive, Suite 300
Henrico, Virginia 23233-1463

What you'll need in order to apply:

  • Review the full set of Laws and Regulations regarding the practice of Midwifery in the state of Virginia
  • Carefully read through the application instructions
  • Verification of professional licenses from all jurisdictions within the United States, its territories and possessions or Canada in which you have been issued a full license.
  • Current certification as a CPM. Request a copy of your certification of credentials from the American Registry of Midwives.
  • NPDB Self Query – complete the "Place a Self-Query Order" form
  • Verify your identity
  • Fill out the paper application from the Forms page and send to the Board along with applicable fees.
image of midwife with patient

Virginia Board of Medicine
medbd@dhp.virginia.gov | Contact the Board
William L. Harp, MD, Executive Director
L. Blanton Marchese, President