MAKING APPLICATION FOR A LICENSE TO PRACTICE AS A
PHYSICIAN ASSISTANT IN NORTH DAKOTA

Licensure Requirements

Do not submit an application until you have carefully reviewed the requirements for licensure.
Review Licensure Requirements

 

Application Forms

Download the Physician Assistant Application Form

Download the Physician Assistant Application Form Instructions

Download the Supervision Contract Form

Download the Authorization for Criminal Record Inquiry

NOTE: To view and use these documents, Adobe Acrobat Reader 4.0 must be installed on your computer.
 If you do not have Adobe Acrobat Reader 4.0, download and install it free of charge.

 

Interviews

Any applicant may be required to appear before the Board of Medical Examiners for an interview. An applicant should expect to appear for an interview if any derogatory information is brought to the attention of the Board during the application process.

 

© 1997 by The North Dakota State Board of Medical Examiners
All Rights Reserved.
Last modified on Sunday, April 15, 2001