64B15-12.003. Applications for Licensure

Applications for licensure by examination or endorsement must include a completed application form and appropriate fee as set forth in Section 459.0055, F.S., and subsection 64B15-10.002(1), F.A.C. The instructions and application form, DH-MQA 1029, (Revised 5/22), entitled “Osteopathic Physician Application For Licensure” is hereby incorporated by reference, and may be obtained from http://www.flrules.org/Gateway/reference.asp?No=Ref-14609, from the Board of Osteopathic Medicine, 4052 Bald Cypress Way, Bin #C06, Tallahassee, Florida 32399-3256, or from the website at: https://floridasosteopathicmedicine.gov/. Such application and fee shall expire one year from the date on which the application is initially received by the Board. After a period of one year a new application and fee must be submitted.

Rulemaking Authority 456.013, 459.005, 459.0055, 459.0092 FS. Law Implemented 456.013, 456.0135, 456.0635, 456.039, 456.50, 459.0055, 459.0085, 459.0092 FS. History–New 6-4-91, Formerly 21R-12.003, 61F9-12.003, Amended 10-15-95, Formerly 59W-12.003, Amended 9-26-00, 3-9-03, 6-1-09, 5-4-10, 9-16-10, 2-14-12, 7-3-12, 8-1-13. 7-22-14, 8-13-15, 9-11-16, 2-20-17, 10-28-19, 9-15-20, 4-4-21, 9-13-22.