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FormsPermanent | Resident | Special | Temporary | Inactive Reinstatement | Renewal | Mandatory Training |Review Process Continuing Medical Education | Application Forms | Verifications
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.
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
Subscription Notification Order Form
Miscellaneous Forms
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