Board of Licensure of Podiatric Medicine - Licensing and Forms

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FORMS

Please only use the forms obtained directly from this page as they are updated periodically.

For best results useÌýAdobe Acrobat ReaderÌýfor our digitally fillable forms.

LAWS AND RULES

Please read the Laws and Rules pertaining to the Board of Respiratory Care Practitioners:

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1. Licensing 2. Fees 3. Continuing Education 21. Controlled Substances

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LICENSING FEES

Please refer toÌýChapter 10 (DOCX)ÌýandÌýChapter 11 (DOCX)Ìýof the Office of Professional & Occupational Regulation's Rules regarding issuance of fees.

Please note all fees areÌýnon-refundable.

License Application Fees

  • $500 License Fee
  • $21ÌýCriminal History Check

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(For initial issuance of licensure)

Renewal Fee(s)

  • $500ÌýRenewal Fee
  • $50ÌýLate Renewal Fee*
    *If renewed after expiration.

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(60 days prior to or up to 90 days after expiration date)

Reinstatement Fees

  • $500ÌýLicense Fee
  • $21ÌýCriminal History Check
  • $50ÌýLate Renewal Fee

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(91 daysÌýto 2 years after the expiration date)

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LICENSE INFORMATION

Please refer to the licensing requirements pursuant to the Board RulesÌýto determine eligibility for licensure.

If you have a pending application you may .

Please Note: Board staff can only discuss a pending application with the applicant.
If you have questions regarding an application but are not the applicant, please contact the applicant directly.Ìý

LICENSURE

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PODIATRISTÌý(POD)

Description

A "Podiatrist" is an individual currently licensed by this Board to practice podiatric medicine. The practice of podiatric medicine means the diagnosis and treatment of maladies of the human foot and ankle by medical, surgical or mechanical means. This includes the performance of a history and physical on a podiatrist's preoperative patient and upon the patient's admission into a hospital or ambulatory surgical center and includes the administration of local anesthesia in conjunction with the practice of podiatry. The use of general anesthesia is permitted in conjunction with the practice of podiatry when administered or supervised by a medical or osteopathic physician who assumes responsibility for the administration of that anesthesia to a patient being treated by a podiatrist. Ìý
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Return to License InformationÌý

Application Information

ÌýApplicants for Podiatrist licensure are required to submit:

  • AnÌý;

  • AÌýCertificate of Podiatric Education Form (PDF);

  • Official transcript of pre-podiatric college education;

  • Copy ofÌýpodiatric degree;

  • Official documentation of passing scores on Part I, II and III of the National Boards forwarded through FPMB;

  • If graduated after January 1, 1991: Copy ofÌýCertificate of Residency;

  • Copy of current CPR certification;

  • Documentation of current DEA number;

  • CompletedÌýfb88 Jurisprudence Examination (PDF);

  • Official license verifications for all professional licenses the applicant holds or has ever held, even if they are now expired. License verifications need to include the applicant's name, license number, license type, initial issue date, current expiration date and whether the license has ever been disciplined. Copies of professional licenses areÌýnotÌýacceptable.
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PODÌýRenewal Information

Terms:

  • Renews every June 30th regardless of initial issue date.

Requirements:

  • 25 credit hours of continuing medical education every 2 years (due onÌýodd-numbered years) with at least 15 hours obtained in Category 1 as described in Board rulesÌýChapter 3.

  • Valid CPR recertification.

  • Any individual who is licensed after June 30th of an even-numbered year is required to obtain 12.5 hours of continuing medical education, with at least 7.5 hours obtained in Category 1, for the first renewal.

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    PODIATRIST IN RESIDENCY (RES)

    Description

    A "Podiatrist in Residency" is an individual who has met all of the requirements for a Podiatrist license expect for the completion of a podiatric residency program.ÌýThe practice of podiatric medicine means the diagnosis and treatment of maladies of the human foot and ankle by medical, surgical or mechanical means. This includes the performance of a history and physical on a podiatrist's preoperative patient and upon the patient's admission into a hospital or ambulatory surgical center and includes the administration of local anesthesia in conjunction with the practice of podiatry. The use of general anesthesia is permitted in conjunction with the practice of podiatry when administered or supervised by a medical or osteopathic physician who assumes responsibility for the administration of that anesthesia to a patient being treated by a podiatrist.

    Return to License InformationÌý

    Application Information

    ÌýApplicants for Podiatrist in Residency licensure are required to submit:

    • AnÌý;

    • AÌýCertificate of Podiatric Education Form (PDF);

    • Official transcript of pre-podiatric college education;

    • Copy ofÌýpodiatric degree;

    • Official documentation of passing scores on Part I, II and III of the National Boards forwarded through FPMB;

    • Copy of current CPR certification;

    • Documentation of current DEA number;

    • CompletedÌýfb88 Jurisprudence Examination (PDF);

    • Official license verifications for all professional licenses the applicant holds or has ever held, even if they are now expired. License verifications need to include the applicant's name, license number, license type, initial issue date, current expiration date and whether the license has ever been disciplined. Copies of professional licenses areÌýnotÌýacceptable.

    RESÌýRenewal Information

    Terms:

    • Renews every June 30th regardless of initial issue date.

    Requirements:

    • 25 credit hours of continuing medical education every 2 years (due onÌýodd-numbered years) with at least 15 hours obtained in Category 1 as described in Board rulesÌýChapter 3.

    • Valid CPR recertification.

    • Any individual who is licensed after June 30th of an even-numbered year is required to obtain 12.5 hours of continuing medical education, with at least 7.5 hours obtained in Category 1, for the first renewal.

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