Application For A License To Practice Podiatric Medicine (Page 4 of 24) in pdf

You must request exam scores be sent to the board from the appropriate organization.

To request Part I/II scores from the National Board of Podiatric Medical Examiners: complete the form provided in this

application packet, and mail it with your check or money order to: Prometric/NBPME, 1260 Energy Lane,

St.Paul, MN 55108. If paying by credit card: Complete the form and FAX to 800.813.6670.

To request Part III (PMLexis) examination scores: Score requests are available for online ordering with payment by credit

card at the Federation of Podiatric Medical Board's (FPMB) web site Alternatively, requests maybe printed

and mailed to the Federation with a check for the $45 fee. You may contact FPMB at: Federation of Podiatric Medical

Boards, 6551 Malta Drive, Boynton Beach, FL 33437 (561) 752-3735.

FAXED DOCUMENTS

Fax copies of documents are NOT accepted for documentation or verification in our licensing process.

FEES

Fees for a permanent physician application are: $200

Nonrefundable Application Fee

$300

License Fee

$500

Total Due

You may remit a minimum of $275 (nonrefundable application fee and temporary permit fee) at the time of application;

however, the $300 permanent license fee must be paid before the permanent license is issued. All applications must be

accompanied by the appropriate fee. Please make personal checks, cashiers’ checks, or money orders payable to the

State of Alaska. Incorrect fees will delay processing of your application.

INITIAL LICENSURE IN SECOND YEAR OF TWO-YEAR CYCLE

If you were initially licensed in the second year of the two-year licensure period, within 12 months of the date of expiration

(December 31, even-number years), the applicant will pay the entire license fee. Upon renewal, the applicant will receive a

renewal form that pro-rates the licensure fee for the coming licensure period. The applicant will pay one-half of the required

license renewal fee at the time of renewal.

If your permanent license was first issued to you after October 1 of the second year of the licensing period, you will pay the

initial full license fee; however, your license will be issued showing the expiration date of the next biennial licensing period. (For

example, if your initial license was issued October 18, 2002, the expiration date will automatically be entered as December 31,

2004.)

LICENSING PROCESS

Your application is received by the administrative services staff where the fees are received and receipted. The

application is then forwarded to the medical board’s licensing examiners. During especially busy times like renewal

periods, this receipting process may take as long as a week.

Once the licensing examiner receives your application, a file and checklist will be created for you that will track all the

documents required to complete the application. The licensing examiner will send you a status letter upon the initial review

of the application and monthly thereafter until the file is complete.

When the application is complete and all documents have been received, the file is forwarded to the board’s executive

administrator who reviews the application file. At the discretion of the administrator, a temporary permit may be issued

(see information under Temporary Permit on page 5).

The complete application file is presented to the board at its next scheduled meeting. The board meets four times each

year. The board’s annual meeting schedule may be obtained from its website.

Following the board’s review and approval, the licensing examiner will issue the permanent license.

Applications will be processed in the date order in which they are received. Please insure that you apply well in advance

of your need for the permit or license. Board staff will not expedite one application before another.

LICENSE APPLICATION PROCESSING STAFF

If your last name begins with the letters A through K, you may contact your licensing examiner at 907/465-2756.

If your last name begins with the letters L through Z, you may contact your licensing examiner at 907/465-2541.

LICENSE RENEWAL

All medical licenses in Alaska are on a two-year cycle, with all licenses expiring December 31 of even-numbered years.

Notification for license renewal is mailed out to license holders of record at least 60 days prior to expiration, usually in late

October. You are required by law to keep your current address on file with the division (12 AAC 02.900).

08-4109 (Rev. 10/15/14)

Application Information

Page 3 of 5

Application For A License To Practice Podiatric Medicine Page 4

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