Credential Verification (of one of the following): Contact the certifying body and have them send the document directly to the Board.
Current certification as a Registered Polysomnographic Technologist (RPSGT) by the Board of Registered Polysomnographic Technologists;
Documentation of the Sleep Disorders Specialist credential from the National Board of Respiratory Care (NBRC-SDS); or
A professional certification or credential approved by the board from an organization or entity which is a member of the National Organization for Competency Assurance.
Basic Cardiac Life Support Provide Documentation of current certification in Basic Cardiac Life. The Board will accept a notarized copy of this document from the applicant.
Applicants licensed in another state/jurisdiction:
License Verification: Please contact the applicable jurisdiction where you have been issued a license to practice to inquire about having documentation forwarded to the Virginia Board of Medicine.
Reactivate a Current Inactive status License
This application is a Word document 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 Polysomnographic Technology in the state of Virginia
Carefully read through the application instructions
An account of professional activity within the last two years, to include approximate number of hours for each year.
Evidence of completion of the continued competency requirements specified in Virginia regulations 18VAC85-140-70
Do not complete this application if your license has been expired for less than 2 years or if you are trying to reactivate a license in inactive status.
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 Polysomnographic Technology 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 must be received by the Board.
NPDE Self Query – Complete the online “Place a Self-Query” Order form.
Verify your identity. This can be done electronically as part of your ”Place a Self-Query” order or by completing a paper form and having it notarized.
Evidence of competency to return to active practice to include one of the following:
Information on continued active practice in another jurisdiction during the period in which the license has been inactive or lapsed;
Attestation of at least 10 hours of continuing education for each year in which the license has been inactive or lapsed, not to exceed three years; or
Recertification by passage of an examination for the Registered Polysomnographic Technologist (RPSGT), the Sleep Disorders Specialist credential from the National Board of Respiratory Care (NBRC-SDS), or other credential approved by the board for initial licensure.
Provide copies of documentation supporting any name change since your initial license was granted in Virginia
If you have entered an answer on any questions between 5 and 12, provide documentation to the Board from your attorney, or you may provide a narrative, explaining your answer. Please provide court documentation for any convictions.
Review the full set of Laws and Regulations regarding the practice of Polysomnographic Technology in the state of Virginia
Carefully read through the application instructions
NPDB Self Query – Complete the online "Place a Self-Query" Order form
Verify your identity. This can be done electronically as part of your "Place a Self-Query" order or by completing a paper form and having it notarized.
Verification of licenses to practice as a Respiratory Therapist from all jurisdictions within the United States, its territories and possessions or Canada in which you have been issued a license must be received by the Board. Please contact the applicable jurisdiction where you have been issued a license to practice respiratory therapy to inquire about having documentation forwarded to the Virginia Board of Medicine.
Credential Verification (of one of the following). Contact the certifying body and have them send the document directly to the Board.
Current certification as a Registered Polysomnographic Technologist (RPSGT) by the Board of Registered Polysomnographic Technologists;
Documentation of the Sleep Disorders Specialist credential from the National Board of Respiratory Care (NBRC-SDS); or
A professional certification or credential approved by the board from an organization or entity which is a member of the National Organization for Competency Assurance.
Documentation of current certification in Basic Cardiac Life
A completed Form B or a letter of recommendation must be received from all locations of service, places of practice or professional employment, observerships, professional research positions or professional volunteer service listed for the 2 years immediately preceding application.o A completed Form B Activity Questionnaire or a letter of recommendation must be received from all locations of service, places of practice or professional employment, observerships, professional research positions or professional volunteer service listed for the 2 years immediately preceding application.
For applicants practicing as travelers, have the company you are affiliated with provide a complete list of all locations and dates where you have provided service. Form B must be received from each location of service for the past 2 years
