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MD Forms and Applications:If you are applying for a Permanent License: Maine is now participating in the FSMB Uniform Application process. This means that there is now one place to apply for your Maine Permanent Medical License as well as a Federation Credentials Verification Service (FCVS) application. Maine requires that you use the Federation Credentials Verification Service (FCVS). Please review the State of Maine Requirements for Medical Licensure (PDF) before you start the application process. Then click on the "Start Here" link below to start your FCVS application and/or your Uniform Application process.
General Forms:If you prefer, you can also change your address, phone, or email address online by going to our renewal site at: www.maine.gov/online/doclicensing To change your name or correct other personal information, please contact the board directly. For Contacts click here: Note: The best method for filling out any of our PDF forms is to:
MD Forms and Applications:If you are applying for a Permanent License: Maine is now participating in the FSMB Universal Application process. This means that there is now one place to apply for your Maine Permanent Medical License as well as a Federation Credentials Verification Service (FCVS) application. Please click on "Start Here" link below to start your application process.
If you are applying for a Temporary , or Locum (Emergency) Tenens License: Please note the following information. The fee for temporary licenses is $300.A physician who is qualified may be granted a temporary license for a period of 6 months (1 year total), when the Board determines that this action is necessary in order to provide relief for local or national emergencies or for situations in which the number of physicians is insufficient to supply adequate medical services; or the Board may permit a physician to serve as "locum tenens" for some other physician who is then licensed to practice medicine in this State and whose license is not temporary or limited under the provisions of Title 32 Chapter 28, if the Maine physician is unable to maintain the practice because of illness of because of absence from the general locus of this physician's practice or for other reasons determined sufficient by the Board. If you are applying for a Camp License or Renewal: Please download the appropriate form and follow the attached instructions.You may apply for a Reinstatement if your license has lapsed or if you have withdrawn your license within the last five years. Please download the appropriate form and follow the attached instructions. If you have any questions regarding these applications, or if you cannot access these applications, please contact us at (207) 287-3601. Pre-printed copies are available upon request
Note: The best method for filling out any of our PDF forms is to:
Important Credit Card Instructions: If you choose to pay your fee with a credit card, you must provide the following information: Type of Card (MasterCard or Visa only!): Card Number: Expiration Date: Amount: Credit Card Holder name and billing address as it appears on the card: This information can be included with your form on a separate typewritten sheet and mailed or faxed to the Board or you can phone it in. PA Forms and Applications:A physician assistant (PA) is a licensed health care professional who practices medicine under the supervision of a physician. A PA provides a broad range of health care services that were traditionally performed by a doctor. Before beginning employment in Maine, a PA must be registered with a Primary Supervising Physician by completing and submitting a Form C registration. PAs conduct physical exams, diagnose and treat illnesses, order and interpret tests, counsel on preventive health care, assist in surgery, and in most states can write prescriptions. A PA may not prescribe Schedule II drugs in Maine without written approval from the Board of Licensure in Medicine. To apply for written approval to prescribe Schedule II drugs, See PA Schedule II Application below. Physician assistants must work under the supervision of a physician and their duties are determined by the supervising physician. However, PAs may be the principal care providers in places where a physician is present for only 1 or 2 days each week. In such cases, the PA maintains contact with the supervising physician and other medical professionals as needed or as required by law. PAs may be licensed by the Maine Board of Licensure in Medicine, or the Maine Board of Osteopathic Licensure depending on their supervising physician. Chapter 2 of the Board Rules pertain to Physician Assistants. Any Physician Assistant wishing to practice in the State of Maine under the supervision of an M.D. must be familiar with these rules. A copy can be downloaded at the following link: Chapter 2 - Physician Assistants
Note: The best method for filling out any of our PDF forms is to:
Important Credit Card Instructions: If you choose to pay your fee with a credit card, you must provide the following information: Type of Card (MasterCard or Visa only!): Card Number: Expiration Date: Amount: Credit Card Holder name and billing address as it appears on the card: This information can be included with your form on a separate typewritten sheet and mailed or faxed to the Board or you can phone it in.
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