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 & Regulations regarding the practice of Midwifery in the state of Virginia
Carefully read through the instructions on the paper application form: Application for License to Practice as a Licensed Midwife
Current certification as a CPM. Request a copy of your certification of credentials from the American Registry of Midwives
Fill out the paper application form and mail it to the Board along with applicable fees.

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 instructions on the paper application form: Application for License to Practice as a Licensed Midwife
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 form and mail it to the Board along with applicable fees.

Reactivate a Current Inactive status License

The Inactive to Active application is for licenses that are currently in a Current Inactive status. If you want to return to a Current Active status, contact the Board at 804-367-4600, Option 2 for an application.
If your license has been in an expired status for less than two-years, you are able to renew it using your established login credentials here. If you need assistance with your login credentials, contact our HelpDesk at 804-367-4444.
If your license has been in an expired status for more than two-years, will need to apply using the reinstatement application for your profession.

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 & 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.