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Forms

Downloadable Format

All files in this library are in PDF (Portable Document Format) format. PDF format produces the original paper-based form size and characteristics and provides excellent print-out quality. PDF files require special viewer software which is freely available for download from the Adobe Acrobat Reader website.

Acrobat Tab
Click on the Acrobat Icon to download the software to view or print PDF files.

 

 

Licensure Applications

All license application packets contain the application and supplemental forms. The application packets contain numerous pages and may take a few moments to download.

The following application packets are intended to be printed as needed. Print a new application each time you need one to ensure that you have the most current version.

Permanent License Application Packet

Resident License Application Packet

Reinstatement License Application Packet

This reinstatement packet is only for licenses that have been inactive for MORE than one year.

Acupuncture License Application Packet

Special License Application Packet

Temporary License Application Packet

Individual Forms

The following forms are included in the above application packets. They are being provided for those needing an individual form and not the complete application packet. These forms can be completed using the computer and then printed, or printed and completed by hand.

IPHP

Data List Order Form

    Data List Order Form (PDF Format) This form can be filled out on your computer and then printed to be sent in.

Subscription Notification Order Form

Subscription Notification Order Form (PDF Format.) This form can be filled out on your computer and then printed to be sent in. The subscription notification is a subscription service where you are notified via email of all IBM press releases. You are also provided with a link to the public documents that go along with the press release.

Miscellaneous Forms