Forms
- Application for Physician Assistant Licensure (online)
- Arrest, Criminal Action, Conviction, and Disciplinary Action Reporting (PDF)
- Authorization for Release of Information for the Subject of the Complaint (PDF)
- Birth Month Licensure (PDF)
- Change of Address
- Change of Name
- Complaint Form (PDF)
- Continuing Medical Education Waiver Application (PDF)
- Customer Service Satisfaction Survey
- Duplicate License Request (PDF)
- Fingerprint Card Request
- Health Facility/Peer Review Reporting Form (805) (PDF)
- Inactive License Status Request (PDF)
- License Renewal Application (by mail) (PDF)
- License Renewal Application (online)
- Live Scan Service (PDF)
- Mandatory Reporting Requirements
- Petition for Penalty Relief
- Retired License Status Application
- Training Program Certification
- Verification of License
Complaint Information
- General Complaint Information
- Fill In and Print a Complaint Form in English (PDF)
- File a Complaint Electronically to the Department of Consumer Affairs