Physician Locum Tenens
New Processing Information
These forms may be completed online, however, they cannot be submitted via e-mail due to the fact that all applications and forms require original signatures. If you complete the form online, you must print the form and mail it to the address listed.
Application for Locum Tenens Permit
Request for License Verification form
Requesting Physician Statement
Deadlines for Board Review
Shortage Area Statement