Forms & Publications
Licensees Forms
- License Renewal Application (Downloadable)
- Activate License
- Fictitious Name Permit
- Fictitious Name Permit Address Change Form
- Fictitious Name Permit Cancellation Request Form
- License Endorsement/Verification
- Instructions and Application for Disabled Placard or Plate
- Name and Gender Change Notification and Request for Confidentiality (SB 372, 2023)
Pocket License
The Board is no longer issuing pocket licenses upon the approval of an initial license or renewal application. Licensees can print a pocket license by logging into their BreEZe account and selecting "Print License Certificate" from the License Activities drop–down. Pocket License (Wallet ID) – Self–Query Instructions.
Mandatory Reporting Forms
- 801.01 Report of Settlement, Judgment, or Arbitration Award
- 802.1 Criminal Action Reporting Form
- 805 Health Facility/Peer Review Reporting Form
- 805.01 Health Facility Reporting Form/Proposed Actions
- 805.8 Health Facility Reporting Form (805.8) for Sexual Abuse or Sexual Misconduct
Publications
- 2020 Oversight/Sunset Report
- 2019 Leadership Accountability Report
- 2016 Oversight/Sunset Report
- 2012 Oversight/Sunset Report
- Breast Cancer and Treatment
- 5 Things to Know About Breast Implants
- Disciplinary Guidelines
- Gynecologic Cancers
- Guidelines for Prescribing Controlled Substances for Pain
- Laws and Regulations
- Professional Therapy Never Includes Sex
- Regulations
- What You Need To Know About Prostate Cancer