You can complete and update your Physician Profile online.
Please log in to our Online Licensing system to update your address.
All licensees/applicants wishing to change their name with the Board must submit their request using the Name and Address Change Form. Follow the instructions on the form when the required information is submitted.
You must submit a copy of a legal document verifying your new name. The following are acceptable name change verification documents:
Virginia Board of Medicine
firstname.lastname@example.org | Contact the Board
William L. Harp, MD, Executive Director
L. Blanton Marchese, President