Licensure Forms

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Telemedicine Waiver (T.W.)

Athletic Trainer (A.T.)

Corporate Practice of Medicine (CPM)

Independent Certified Nurse Midwife (CNM-I)

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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.)