Applying for a License
IMPORTANT NOTICE:
Online applications are now available for
• Physician and Surgeon • Physician Assistants • Respiratory Therapists • Genetic Counselors• Limited License • Athletic Trainer • Acupuncturist • Traditional Midwife
Click the following link ( https://bmp.hlb.state.mn.us/#/Login ) and select “Register to Access Site.”
Applicants can submit either an online or paper application, but not both.
Acupuncturists
Athletic Trainer
- Online Athletic Trainer Application
- Athletic Trainer Application Packet (PDF)
- Athletic Trainers Practice Act - Scroll down to MN Statutes 148.7801 to 148.7815
- Athletic Trainer Protocol (PDF) - This protocol form must be updated and reviewed at the athletic trainers renewal time and kept on file by the athletic trainer. It is recommended that the primary physician also retain a copy. Do not submit to the Board unless requested.
Genetic Counselor
Naturopathic Doctor
Physicians
(If utilizing FCVS, the following documents will be provided in your packet: exam scores, ECFMG verification, verification of medical school, verification of accredited postgraduate training, and NPDB)
- Physician Paper Application (PDF) - This application must be completed, printed and submitted directly to the Board.
- Physician Temporary Permit Application Form
- Medical Faculty License Application Packet (PDF) PLEASE NOTE: A person issued a license under Minn. Stat. §147.0375 may only practice medicine within the clinical setting of the academic medical center where the licensee is an appointed faculty member or within a physician group practice affiliated with the academic medical center.
- Limited license Paper Application Packet (PDF) PLEASE NOTE: A Limited License to practice medicine in Minnesota is issued for a period of 24 months. During this time, individuals must continue to meet the requirements outlined in Minn. Stat. §147.037, subd. 1b
- Telemedicine Registration Law - Laws concerning Telemedicine Registration.
- Medical Faculty License Law - Laws concerning Medical Faculty License.
Other Physicians Forms
- Camp Doctor Application (PDF) Physicians may treat patients participating in camp activities in MN after registering
- Competitive Athletic Event Physician Registration Application (PDF) Physicians licensed to practice medicine in another state may provide medical services to participants at a competitive athletic event in Minnesota after registering with the Board.
- Emeritus Application (PDF download for Paper Application) Formal recognition that a physician has retired in good standing
- Online Residency Permit Application / Existing Permit Extension Application
- Residency Permit Application Instructions
- Residency Permit Application (PDF download for Paper Application) A residency permit is required to participate in a training program unless a physician is licensed
- Approved Residency Training Program Form For Online Application Upload
- Residency Permit Extension Instructions
- Residency Permit Extension of Date (PDF download for Paper Application) Request for extension of a current Residency Permit by Paper
- Approved Residency Training Program Extension Form For Online Application Upload Request for extension of a current Residency Permit by Paper.
- Online Telemedicine Registration Application
- Telemedicine Registration Application (PDF) Physicians who are practicing telemedicine from another state and do not have a full medical license must register
- Dispensing Drugs for Profit (PDF) Statement must be filed if dispensing drugs for profit. This law refers only to drugs that are: 1) to be administered orally; 2) ordinarily dispensed by pharmacists; and 3) not vaccines.
Physician Assistants
- Physician Assistant Application Form Packet (PDF)
- Physician Assistant Temporary Permit Application Form
- Physician Assistant Practice Act
Professional Firms
- Professional Firm Application Packet (PDF)
- Professional Firm Annual Report Form (PDF) (to be uploaded only with the online renewal process)
- Professional Firms Act
Respiratory Therapists
- Respiratory Therapist Application Packet (PDF)
- Respiratory Therapist Practice Act
- Respiratory Therapist Work History Form
Traditional Midwives