Licensure Forms

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Attention Acupuncturists, Athletic Trainers, Chiropractors, Physical Therapists, Physical Therapist Assistants, Physicians, Physician Assistants, Occupational Therapists, Occupational Therapy Assistants, Podiatrists, Radiologic Technologists, and Respiratory Therapists:

The Board has contracted with VeriDoc for expedited license verification to other state medical boards for the above mentioned professions. Verification is convenient and virtually instantaneous. To obtain verification of your Kansas license, go to Veridoc.org to use their secure site any time, day or night. If you have problems with the online verification process, call VeriDoc support at (701)319-6500 or email them at support@veridoc.org. The Board will implement this service for other professions as it becomes available.


Sports Waiver (S.W.)

Telemedicine Waiver (T.W.)

Athletic Trainer (A.T.)

Corporate Practice of Medicine (CPM)

Independent Certified Nurse Midwife (CNM-I)

Contact Lens Distributor

Doctor of Chiropractic (D.C.)

Doctor of Medicine and Surgery (M.D.)

Doctor of Naturopathic Medicine (N.D.)

Doctor of Osteopathic Medicine and Surgery (D.O.)

Doctor of Podiatric Medicine (D.P.M.)

Licensed Acupuncturist (L.Ac.)

Occupational Therapist (O.T.)

Occupational Therapy Assistant (O.T.A.)

Physician Assistant (P.A.)

Physical Therapist (P.T.)

Physical Therapist Assistant (P.T.A.)

Radiologic Technologist (L.R.T.)

Respiratory Therapist (R.T.)