Board of Osteopathic Medicine and Surgery - WA State Dept. of Health

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Applications / Forms

NEW! The Washington State Board of Osteopathic Medicine and Surgery is pleased to offer a new online application process for medical and osteopathic physicians called the Uniform Application for Physician State Licensure or UA. The UA will benefit physicians by reducing redundancy in filling out multiple applications when applying for licensure in multiple states, thus increasing portability. This new and exciting program is a major innovation in the medical licensing system.

Click on the “Start Here” link below to start your Uniform Application.

Osteopathic Physician & Surgeon

Application Packet for Osteopathic Physician and Surgeon (377 KB, PDF)
Application for Inactive Credential Activation (338 KB, PDF)
Application for Credential Activation (312 KB, PDF) - For credentials expired between 1-3 years
Application for Credential Activation (330 KB, PDF) - For credentials expired for 3 or more years

Osteopathic Physician Assistant

Application Packet for Osteopathic Physician Assistant (392 KB, PDF)
Application Packet for Expired Osteopathic Physician Assistant (348 KB, PDF)

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Washington State Department of Health
Health Professions & Facilities
243 & 310 Israel Rd SE
P.O. Box 47865
Olympia, Washington, 98504-7865

Last Update : 05/09/2012 11:22 AM
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