Allied Health Applications

Criminal Background checks are required as of October 1, 2016.

New Online Initial Licensure for ATs

Effective May 1, 2023, the Board will no longer accept the paper initial license application form for Athletic Trainers.

Termination of Evaluation and Treatment Protocols must be done within the Practitioner Profile.

New Online Initial Licensure for Genetic Counselors

Effective 10/23/2023, Online Licensure is available for Genetic Counselors and Supervised Genetic Counselors.

Genetic Counselor

Verification of Education

Supplemental Form

Supervised Genetic Counselor

Verification of Education

Supplemental Form

New Online Initial Licensure for Naturopathic Doctors

Effective May 29, 2023, the Board will no longer accept the paper initial license application form for Naturopathic Doctors.

New Online Initial Licensure for Nuclear Medicine Technologists

Effective 12/04/2023, the Board will no longer accept the paper initial license application form for Nuclear Medicine Technologists.

Initial Licensure

Coming May 1st, 2024 ‐ Online Initial Application for PAs. Paper applications will no longer be accepted after May 1, 2024.

Delegation Agreement for Core Duties

Online Version  Must be initiated by the physician assistant via his/her editable Practitioner Profile. To begin, click to login to your Practitioner Profile. For more information, visit the  Overview.


Instructional PDF demo:

Physician Assistant

Initiated by Physician Assistant

Primary Supervising Physician

Initiated by Primary Supervising Physician

Instructional Video demo:

Physician Assistant

Initiated by Physician Assistant

Primary Supervising Physician

Initiated by Primary Supervising Physician

Effective July 1, 2022, the Board will no longer accept the paper version of the delegation agreement for core duties application.


Delegation Agreement Forms

Adding Practice Locations *Discontinued*

Effective November 9, 2021, PAs are no longer required to provide the Board with a list of all locations where they will be practicing. However, they must provide their Primary practice address on their Practitioner Profile.

Delegation Agreement Terminations must be done within the Practitioner Profile.