Please select a profession or category from the dropdown to view related forms.
Please use our Application Wizard for guidance on how to apply for a license as an Acupuncturist.
FAQ's about Licensed Acupuncturist
Application for a License to Practice as an Acupuncturist
Form A - Claims History Sheet
Form C - Clearance from Other State Boards
Reinstatement application for an Acupuncture license
Licensed Acupuncturist - Recommendation for Examination by a Physician
Please use our Application Wizard for guidance on how to apply for a license as an Assistant Behavior Analyst.
Initial Application
Applications for initial licensure as an Assistant Behavior Analyst are accepted exclusively through our online system.
Instructions for Assistant Behavior Analyst applicants
Reinstatement
Reinstatement application for an Assistant Behavior Analyst license
Please use our Application Wizard for guidance on how to apply for a license as an Athletic Trainer.
Initial Application
Applications for initial licensure as an Athletic Trainer are accepted exclusively through our online system.
Online Application Instructions
FAQ's about Athletic Trainer licensure
Reinstatement
Reinstatement application for an Athletic Trainer License
Please use our Application Wizard for guidance on how to apply for initial licensure as a Behavior Analyst.
Initial Application
Applications for initial licensure as a Behavior Analyst are accepted exclusively through our online system.
Instructions for Behavior Analyst applicants
Reinstatement
Reinstatement application for a Behavior Analyst License
Please use our Application Wizard for guidance on how to apply for a license as a Chiropractor.
Initial Application
Applications for initial licensure as a Chiropractor are accepted exclusively through our online system.
Application instructions for Chiropractor applicants
Reinstatement
Reinstatement Application for a Chiropractic License
Requirement for SPEC Transcript
MD, DO, DPM & DC - Continued Competency Form and Instructions
Occupational Therapy - Continued Competency Form and Instructions
Radiologic Technology - Continued Competency Form and Instructions
Respiratory Therapist - Continued Competency Form and Instructions
Please use our Application Wizard for guidance on how to apply for a license as a Genetic Counselor.
Initial Application
Applications for initial licensure as a Genetic Counselor or Temporary Genetic Counselor are accepted exclusively through our online system.
Instructions for Genetic Counselor applicants
Instructions for Temporary Genetic Counselor applicants
Reinstatement
Instructions and Application for Reinstatement of a Genetic Counselor License
Please use our Application Wizard for guidance on how to apply for a training license as an Intern/Resident/Fellows.
Initial Application
Initial applications for training licenses as an intern, resident, or fellow are now online. If you held a Virginia training license previously, or if you do not have a Social Security number or Department of Motor Vehicles number, you will need to request a paper application from the Board of Medicine at medbd@dhp.virginia.gov. DO NOT USE A TRAINING LICENSE APPLICATION FOR A FULL, UNRESTRICTED LICENSE. Click here to begin the online application process.
Additional Forms:
Residency Memorandum (Form A)
Certificate of Professional Education (Form B)
Please use our Application Wizard for guidance on how to apply for a Medicine license.
Initial Application
Applications for an initial Medicine license are accepted exclusively through our online system.
Instructions for Medicine application by Initial Application
Instructions for Medicine application by Endorsement
Instructions for Medicine application by Reciprocity
Reinstatement
Reinstatement application for MD and DO
Please use our Application Wizard for guidance on how to apply become a licensed as a certified professional midwife.
Initial Application
Instructions and Application for License to Practice as a Certified Professional Midwife
Form A - Claims History
Form C - Jurisdiction Clearance
Reinstatement
Reinstatement application for a Certified Professional Midwife license
Request for Removal of Notice/Order
Application for a Duplicate Wall Certificate
Please use our Application Wizard for guidance on how to apply for a license as a Occupational Therapy and Occupational Therapy Assistant.
Initial Application
Applications for initial licensure as a Occupational Therapy and Occupational Therapy Assistant are accepted exclusively through our online system.
Online application Instructions
Supervised Services/Board Approved Practice for Licenses Lapsed 2-6 years
Supervised Services/Board Approved Practic for Licenses Lapsed more than 6 years
Reinstatement
Reinstatement application for an OT and an OTA
Please use our Application Wizard for guidance on how to apply for a license to practice Osteopathic Medicine.
Initial Application
Applications for initial licensure to practice Osteopathic Medicine are accepted exclusively through our online system.
Instructions for an Osteopathic Medicine online application by Initial Application
Instructions for an Osteopathic Medicine online application by Endorsement
Instructions for an Osteopathic Medicine online application by Reciprocity
Reinstatement
Reinstatement application - Reinstatement application for an MD and a DO
Form D - Request for Physician Profile (link to AOA website)
Please use our Application Wizard for guidance on how to apply for a license as a Physician Assistant.
Frequently Asked Questions and other information for Physician Assistants.
Initial Application
Applications for initial licensure as a Physician Assistant are accepted exclusively through our online system.
Online application instructions and forms
ARRT Fluoroscopy Exam Application
Physician Assistant Authorization to Use Fluoroscopy
The following document is not required to have board approval, but must be maintained in the licensee’s file and submitted to the Board upon request:
It is strongly advised, though not required, that the following form be used. You may create your own form; however, the following form does meet the regulatory requirements for documentation.
Practice Agreement as a Physician Assistant
Please use our Application Wizard for guidance on how to apply for a licensed to practice Podiatric Medicine
Initial Application
Applications for initial licensure to practice Podiatric Medicine are accepted exclusively through our online system.
Online application instructions
Reinstatement
Reinstatement of a Podiatry License - Please contact Pam Smith for licensure package at Pam.Smith@dhp.virginia.gov.
Please use our Application Wizard for guidance on how to apply for a license as a Polysomnographic Technologist.
Initial Application
Applications for initial licensure to practice as a Polysomnographic Technologist are accepted exclusively through our online system.
Online application instructions and forms for Polysomnographic Technologists
Form C- Clearance from Other Jurisdictions
Reinstatement
Reinstatement application for a Polysomnographic Technologist license
Please use our Application Wizard for guidance on how to apply for a Radiologic Technologist license or a Radiologic Technologist-Limited license.
FAQ and other information about Radiologic Technology
Initial Application
Applications for initial licensure as a Radiologic Technologist or a Radiologic Technologist-Limited are accepted exclusively through our online system.
Online application Instructions and forms for Radiologic Technologist
Online application Instructions and forms for Limited - Radiologic Technologist
Form C - Clearance from other Jurisdictions
Reinstatement
Reinstatement application for a Radiologic Technologist/Limited Radiologic Technologist license
Please use our Application Wizard for guidance on how to apply for a Radiologist Assistant license.
Initial Application
Applications for initial licensure as a Radiologist Assistant are accepted exclusively through our online system.
Online Application Instructions and Forms for Radiologist Assistant
Please use our Application Wizard for guidance on how to apply for a Respiratory Therapy license.
FAQ and other information about Respiratory Therapy
Initial Application
Applications for initial licensure to practice Respiratory Therapy are accepted exclusively through our online system.
Online Application Instructions for a License to Practice Respiratory Therapy
Reinstatement
Reinstatement application for a Respiratory Therapist
Please use our Application Wizard for guidance on how to apply for a Surgical Technologist registration or Licensed Surgical Assistant license.
Initial Application
Applications for initial licensure as a Surgical Technologist or a Licensed Surgical Assistant are accepted exclusively through our online system.
Online Application Instructions and Forms for Licensed Surgical Assistant
Online Application Instructions and Forms for Surgical Technologist
University Limited/Full-time Faculty/Fellowship for Foreign Graduates
Instructions for Completing an Application for a Limited License to Practice Medicine as a Full-time Faculty Member or as a Full-time Fellow
Application for a Limited License to Practice Medicine as a Full-time Faculty Member or as a Full-time Fellow
Regulations Regarding Limited Licenses to Foreign Medical Graduates
Form G Educational Commission For Foreign Medical Graduates (ECFMG)
Volunteer Practice Sponsor Form
Application for Registration for Volunteer Practice
Application for Restricted Volunteer License (Doctor of Medicine, Osteopathic Medicine, Podiatry or Chiropractic)
Application for Restricted Volunteer License (Licensed Acupuncturist, Physician Assistant, Respiratory Therapist, Occupational Therapist, Radiologic Technologist or Radiologic Technologist Limited)
The following applications are for those licensees in Current Inactive status. If your license is expired, do not complete this form. Instead, for a license that has been expired for less than 2 years please click here to renew your license. If your license has been expired for more than two years please download a reinstatement application.
Reactivate an Inactive License for an Athletic Trainer
Reactivate an Inactive License for an MD, DO, DPM or DC
Reactivate an Inactive License for a Licensed Midwife
Reactivate an Inactive License for a Licensed Acupuncturist
Reactivate an Inactive License for an Occupational Therapist
Reactivate an Inactive License for an Occupational Therapist Assistant
Reactivate an Inactive License for a Physician Assistant
Reactivate an Inactive License for a Respiratory Therapist
Reactivate an Inactive License for a Radiologist Technologist
Reactivate an Inactive License for a Radiologist Technologist-Limited
Reactivate an Inactive License for a Behavior Analyst / Assistant BA
Reactivate an Inactive License for a Polysomnographic Technologist
Reactivate an Inactive License for a Genetic Counselor
90-day Temporary License (SB317)
Virginia Code § 54.1-2408.4, enacted by Chapter 464 of the 2022 Acts of Assembly, permits health care practitioners licensed, certified, or registered in another state or the District of Columbia to temporarily practice in the Commonwealth for 90 days provided certain provisions are met. These individuals may only practice temporarily for 90 days after receiving an offer of employment or contract for services from: (1) a hospital licensed by the Virginia Department of Health, (2) a nursing home, (3) a dialysis facility, (4) the Virginia Department of Health, or (5) a local health department.
Eligible employers and contract service recipients must fill out this form and submit it to the Board before the practitioner begins temporarily practicing in Virginia.
Virginia Board of Medicine
medbd@dhp.virginia.gov | Contact the Board
William L. Harp, MD, Executive Director
L. Blanton Marchese, President