Allied Health Applications

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

Online Initial Licensure for Athletic Trainers

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


New Online Reinstatement for Athletic Trainers

Effective March 1, 2025, the Board will no longer accept the paper reinstatement application form for Athletic Trainers.



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

If you have any questions about the application process or have a question that does not appear in the FAQs, please email the Board at mbpmail@rcn.com.

Online Initial Licensure for Genetic Counselors

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

New Online Reinstatement for Genetic Counselors


Genetic Counselor

Verification of Education

GC Supplemental Form

Supervised Genetic Counselor

Verification of Education

SGC Supplemental Form

Verification of Other State Licenses

SGC Supplemental Form
If you have any questions about the application process or have a question that does not appear in the FAQs, please email the Board at mbpmail@rcn.com.
If you have any questions about the application process or have a question that does not appear in the FAQs, please email the Board at mbpmail@rcn.com.

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 Reinstatement for Naturopathic Doctors

Effective March 1, 2025, the Board will no longer accept the paper reinstatement application form for Naturopathic Doctors.


If you have any questions about the application process or have a question that does not appear in the FAQs, please email the Board at mbpmail@rcn.com.

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.


New Online Reinstatement for Nuclear Medicine Technologists

Effective March 1, 2025, the Board will no longer accept the paper reinstatement application form for Nuclear Medicine Technologists.


Verification of Education

NMT Supplemental Form

Verification of Other State Licenses

NMT Supplemental Form
If you have any questions about the application process or have a question that does not appear in the FAQs, please email the Board at mbpmail@rcn.com.

Initial Licensure


New Online Reinstatement for Perfusionists

Effective March 1, 2025, the Board will no longer accept the paper reinstatement application form for Perfusionists.


Verification of Other State Licenses

CCP Supplemental Form
If you have any questions about the application process or have a question that does not appear in the FAQs, please email the Board at mbpmail@rcn.com.

New Online Initial Licensure for Physician Assistants

Effective May 1, 2024, the Board will no longer accept the paper initial license application form for Physician Assistants.


New Online Expedited Licensure For Physician Assistants

Effective Aug 15, 2024, eligible Physician Assistants may apply for Endorsement or Reciprocity.


New Online Reinstatement for Physician Assistants

Effective March 1, 2025, the Board will no longer accept the paper reinstatement application form for Physician Assistants.


Notification of Collaboration Agreement

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

Collaboration Agreement Forms

Collaboration Agreement Sample

Sample References: 1 ❘ 2 ❘ 3

Collaboration Agreement Terminations must be done within the Practitioner Profile.

If you have any questions about the application process or have a question that does not appear in the FAQs, please email the Board at mbpmail@rcn.com.

Initial Licensure


New Online Reinstatement for Polysomnographic Technologists

Effective March 1, 2025, the Board will no longer accept the paper reinstatement application form for Polysomnographic Technologists.


Verification of Other State Licenses

PSGT Supplemental Form
If you have any questions about the application process or have a question that does not appear in the FAQs, please email the Board at mbpmail@rcn.com.

New Online Initial Licensure for Radiation Therapists

Effective 06/01/2024, the Board will no longer accept the paper initial license application form for Radiation Therapists.


New Online Reinstatement for Radiation Therapists

Effective March 1, 2025, the Board will no longer accept the paper reinstatement application form for Radiation Therapists.


Verification of Education

RT Supplemental Form
If you have any questions about the application process or have a question that does not appear in the FAQs, please email the Board at mbpmail@rcn.com.

New Online Initial Licensure for Radiographers

Effective 12/30/2024, the Board will no longer accept the paper initial license application form for Radiographers.


New Online Reinstatement for Radiographers

Effective March 1, 2025, the Board will no longer accept the paper reinstatement application form for Radiographers.


Verification of Education

RTR Supplemental Form

Verification of Other State Licenses

RTR Supplemental Form
If you have any questions about the application process or have a question that does not appear in the FAQs, please email the Board at mbpmail@rcn.com.

Initial Licensure


New Online Reinstatement for Radiologist Assistants

Effective March 1, 2025, the Board will no longer accept the paper reinstatement application form for Radiologist Assistants.


Verification of Other State Licenses

RRA Supplemental Form
If you have any questions about the application process or have a question that does not appear in the FAQs, please email the Board at mbpmail@rcn.com.

New Online Initial Licensure for Respiratory Care Practitioners

Effective 12/16/2024, the Board will no longer accept the paper initial license application form for Respiratory Care Practitioners.


New Online Reinstatement for Respiratory Care Practitioners

Effective March 1, 2025, the Board will no longer accept the paper reinstatement application form for Respiratory Care Practitioners.


Verification of Education

RCP Supplemental Form

Verification of Other State Licenses

RCP Supplemental Form
If you have any questions about the application process or have a question that does not appear in the FAQs, please email the Board at mbpmail@rcn.com.