Physician Application Option 1 (PDF)
This packet requires physicians to complete, print and submit directly to the Board.
Physician Application Option 2 - Uniform Application (aka UA)
This application is partially submitted online for the basic core of information that may be shared with other states accepting the UA. Minnesota has a specific addendum addressing our state requirements. The Uniform Application for Physician State Licensure (UA) allows for quick, easy and convenient single and multi-state licensure application. The Federation of State Medical Boards (FSMB) began collecting a one-time physician service charge from all applicants utilizing the benefits of the Uniform Application for Physician State Licensure (UA) on October 27, 2011. Go to Uniform Application for details. If you have previously used the UA application, review all fields to ensure information is accurate and updated prior to submission.
The following individual forms are included in the packet but can also be downloaded separately:
Other Physicians Forms
Application forms are available at Forms for Applicants
Physician & Surgeon initial license fee - $392
Physician & Surgeon annual renewal - $192
Criminal Background Check - $33.25
Annual based on birth month.