Forms and Publications
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Applications
- Licensing Application Checklist
- P1A - Application for a Certificate to Practice Podiatric Medicine - Part A
- P1B - Application for a Certificate to Practice Podiatric Medicine - Part B
- P1C - Application for a Certificate to Practice Podiatric Medicine - Part C
- P1D - Application for a Certificate to Practice Podiatric Medicine - Part D
- P1E - Application for a Certificate to Practice Podiatric Medicine - Part E
- P1F - Application for a Certificate to Practice Podiatric Medicine - Part F
- P1G - Application for a Certificate to Practice Podiatric Medicine - Part G
- P2 - Certificate of Podiatric Medical Education
- P3 - Request for Letter of Good Standing / License Verification by State Licensing Agency
- P4 - Certificate of Approved Residency Training
- Request for American Podiatric Medical Licensing Examination (APMLE) Part I, II & Part III (PMLexis) Certified Scores
- P5 – M.O.U. for Approved Residency Program Participation
- P5 – M.O.U. for Approved Residency Program Participation
- Disciplinary Report Request (FPMB)
- Explanation to Application Question
- License Expiration Advisory and Request for Birth Month Licensure
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Forms
- Candidate Bulletin (American Podiatric Medical Licensing Examination Part III - Formerly "PMLexis")
- Change of Address
- Continuing Competence Certification (Renewal Form)
- Continuing Medical Education Program Approval
- Continuing Medical Education (CME) or Continuing Competence Waiver
- Duplicate License Application
- Inactive Status License Renewal Application
- Letter of Good Standing (License Verification)
- Name Change Notification
- Restore License to Full, Active Status From Retired, Disabled, Military or Inactive
- License Status Changes
- Disability Renewal Fee Waiver Application
- Military Renewal Fee Waiver Application
- Retirement Renewal Fee Waiver Application
- Medical Board Forms and Publications
(Including Health Facility/Peer Review Reporting Form (805 Report) and related information)
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Complaint Forms
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Comment Form
