Applications

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Do you want an unrestricted medical license to practice in Florida?

Attention: Physicians applying for an unrestricted license who are currently in a Florida training program should mail their applications with application fees to:

Department of Health/Board of Medicine
P.O. Box 6330
Tallahassee, FL 32314-6330

At the request of the Family Practice Physician Recruitment and Retention Advisory Committee, in an effort to ensure the most efficient and timely processing of these applications, the Florida Board of Medicine has designated one application processor to process all of these applications. If you have any questions about completing the application, you may contact the Board of Medicine.

• Application for Licensure (pdf - 271kb)

  • Request for Examination and Board Action History Report (pdf - 73kb)

  • Request for Status Report of ECFMG Certification (pdf - 32kb)

  • AMA Physician Profile Service Order Form for Licensure Application or Renewal (pdf - 31kb)

  • Changes to CME Requirements (pdf - 30kb)

Do you want to register as a physician in training or do you want to practice in a hospital as a house physician?

• Initial Registration of Intern/Resident/Fellow & House Physician (pdf - 219kb)

• Laws & Rules Applicable to Physicians in Training (TRN) and House Physicians (HSE)(pdf - 20kb)

• Need more information on house physicians in training? (pdf - 31kb)

Have you been offered a full time faculty appointment by the dean of one of Florida's medical schools?

• Application and Instructions for Medical Faculty Certificate (pdf - 460kb)

Are you a retired physician interested in a limited license to volunteer?

• Limited License for Non-Compensated Practice (pdf - 785kb)

• List of Approved Area of Critical Need Facilities (pdf - 815kb)

Do you want to apply to work in an area of critical need?

• Area of Critical Need Application (pdf - 765kb)

• List of Approved Area of Critical Need Facilities (pdf - 815kb)

(Note: Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing.)

HOW TO SUBMIT PRINTS
Log on to www.fldoh.sofn.net
To Register:
ENTER personal demographic data required to submit fingerprints.
OPTION to purchase FD 258 fingerprint cards.

If you chose not to purchase a fingerprint card you must make sure the police department or agency you choose to roll your fingerprints uses an FD 258. If the FD 258 is not used the fingerprints will not be accepted, you will be required to have another set rolled and your application will be delayed.
PAY: If fingerprint cards are purchased.

$4.00 for regular USPS mail
$10 for priority mail
OBTAIN RECEIPT generated online. Print the Bar Code Receipt and mail it to the address listed on the receipt with the completed fingerprint cards.

Medical