Applications, renewals, and other requests will be completed at

That includes:

  • Medical Physician and Surgeon
  • Physician Assistant
  • Nurse-Midwife
  • Nurse-Midwife Prescriptive Authority
  • Respiratory Therapist
  • Acupuncturist
  • Physician Acupuncturist
  • Orthotic Fitter
  • Prosthetist
  • Practitioner of Oriental Medicine
  • Pedorthist
  • Perfusionist
  • Orthotist
  • Athletic Trainer
  • Genetic Counselor
  • Behavior Specialist
  • Physician and Surgeon (MD) - Institutional License

You may also request duplicate licenses, changes to your name, and changes to your address at

Pennsylvania Guidelines

Guidelines for Safe Administration of Low-Dose Ketamine (PDF)

Treating Pain in Patients with OUD (PDF)

Treatment of Acute and Chronic Pain in Patients With Sickle Cell Disease (PDF)

The Safe Prescribing of Opioids in Orthopedics and Sports Medicine (PDF)

Emergency Department Pain Treatment (PDF)

Opioids to Treat Chronic Non-cancer Pain (PDF)

Geriatric Pain Treatment (PDF)

Obstetrics & Gynecology Pain Treatment (PDF)

Use of Addiction Treatment Medications in the Treatment of Pregnant Patients with Opioid Use Disorder (PDF)

Safe Prescribing for Workers' Compensation (PDF)

Pediatric and Adolescent Populations (PDF)


Common Application Discrepancies

Physician and Surgeon (PDF)

Supervising Physician 

Application Guides

Physician Assistant (PAC) Supervising Physician Applications & Guides

Law Act 112 of 1985, Section 13(e.6) indicates all written agreements are considered effective upon submission to the Board.  

Proof of submission comes in the form of a payment receipt for the application filing fee, along with a copy of the application itself, which can be downloaded by the licensee upon submission to the Board.

Guides for Submitting Supervising Physician Applications Online

 Application Overview to Get Started (PDF)

 Online Written Agreement User Guide - Initiated by Physician Assistant (PDF)

Online Written Agreement User Guide - Initiated by Physician and Surgeon (PDF) 

Delegate Written Agreement Submission Access (PDF)

Online Written Agreement Change User Guide (PDF)

Downloading a Filed Written Agreement (PDF)

Terminating a Written Agreement Online (PDF)

Physician Assistant Written Agreement Review Process (PDF)

Nurse-Midwife (CNM) Applications & Guides

Nurse-Midwife Initial Collaborative Agreement (PDF)

Nurse-Midwife Collaborative Agreement Change Form (PDF)

Terminating a Collaborative Agreement Online (PDF)


Additional Resources & Documents

Volunteer License Application (PDF)

Verification of licensure to another state (PDF)

Changing Dates and/or Specialty Video

Changing PGY Level Video

Verification of Opioid Education Form (PDF)

 Auxiliary Personnel (PDF)

Consent to Prescribe Opioid Medication to a Minor Form (PDF)

FAQs - Act 125 of 2016 - Prescribing Opioids to Minors (PDF)

PA Prescription Drug Monitoring Program (PDF) 


Note:  As a result of document fraud and in an effort to protect its licensees, the Board will only provide direct source verification of your license to another state licensing agency.