64B8-4.009. Applications  


Effective on Sunday, March 3, 2019
  • 1(1) All persons applying for licensure shall submit an application to the Department. The application shall be made on 20the applicable form set forth below, all of which are hereby adopted and incorporated by reference 36and can be obtained from the 42website at 44http://www.flhealthsource.gov/mqa-services45. The application must be accompanied by the application fee.

    55(a) DH-MQA 1000, entitled “Florida Board of Medicine Medical Doctor Licensure Application,” (12/18), available from 71http://www.flrules.org/Gateway/reference.asp?No=Ref-10279, 73or 74http://www.doh.state.fl.us/mqa/medical/me_applicant.html;

    75(b) DH-MQA 1008, entitled “Florida Board of Medicine Limited License Application,” (12/18), available from 90http://www.flrules.org/Gateway/reference.asp?No=Ref-10280, 92or 93http://www.doh.state.fl.us/mqa/medical/me_applicant.html;

    94(c) DH-MQA 1009, entitled “Florida Board of Medicine Application For Temporary Certificate to Practice in an Area of Critical Need Application,” (12/18), 117available from 119http://www.flrules.org/Gateway/reference.asp?No=Ref-10281, 121or 122http://www.doh.state.fl.us/mqa/medical/me_applicant.html;

    123(d) DH-MQA 1032, entitled “Board of Medicine Application Materials for Initial Registration and Renewal of Intern/Resident/Fellow and House Physician,” (8/16), 144http://www.flrules.org/Gateway/reference.asp?No=Ref-07844;

    146(e) DH-MQA 1072, entitled “Florida Board of Medicine Medical Faculty Certificate For Allopathic Physicians Licensure Application,” (12/18), available from 166http://www.flrules.org/Gateway/reference.asp?No=Ref-10282, 168or 169http://www.doh.state.fl.us/mqa/medical/me_applicant.html;

    170(f) DH-MQA 1079, entitled “Temporary Certificate 176For Visiting Physicians To Obtain Medical Privileges For Instructional Purposes In Conjunction With Plastic Surgery, Medical Or Surgical Training Programs and Educational Symposiums,199” (10/16), 201http://www.flrules.org/Gateway/reference.asp?No=Ref-07845203.

    204(g) 205DH5001-MQA, 206entitled “Application Rear Admiral LeRoy Collins, Jr., Temporary Certificate for Active Duty Military and Veterans,” (11/17), 223http://www.flrules.org/Gateway/reference.asp?No=Ref-09114225.

    226(2) An official verification of the applicant’s medical education from the medical school which comes directly from the medical school to the Board office, unless the applicant has had his or her medical credentials evaluated by the Educational Commission for Foreign Medical Graduates (ECFMG) and holds an active, valid certificate issued by the ECFMG.

    280(3) An applicant must submit examination score reports which come directly from the testing entity to the Board office.

    299Rulemaking Authority 301456.031, 302456.033, 303458.309, 304458.311, 305458.313, 306458.3145, 307458.3151, 308458.345 FS. 310Law Implemented 312456.013(1), 313(13), 314456.0135, 315456.031, 316456.033, 317456.039, 318456.049, 319456.50, 320456.0635, 321458.311, 322458.3124, 323458.313, 324458.3137, 325458.3145, 326458.315, 327458.3151, 328458.316, 329458.3165, 330458.317, 331458.320, 332458.345, 333766.314 FS. 335History–New 3-31-80, Amended 12-4-85, Formerly 21M-22.09, Amended 9-7-88, 3-13-89, 1-1-92, 2-21-93, Formerly 21M-22.009, Amended 11-4-93, Formerly 61F6-22.009, Amended 11-15-94, 2-15-96, Formerly 59R-4.009, Amended 7-10-01, 1-31-02, 5-10-04, 5-20-04, 6-13-06, 12-26-06, 1-18-09, 3-17-09, 10-7-09, 1-7-10, 5-18-10, 2-28-12, 1-27-13, 8-5-13, 11-10-13, 1-9-14, 7-15-14, 9-10-14, 12-2-14, 3-17-15, 5-19-15, 9-28-15, 11-11-15, 8-14-16, 9-26-16, 2-6-17, 11-6-17, 2-26-18, 3-3-19.

     

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