![]() Reinstatement Application Form (for surrendered or revoked licenses only).Declaration of Citizenship/Legal Presence - List of Documents Demonstrating Citizenship.To request fingerprint cards, use our Contact form (provide your mailing address).Please note: Must be mailed with two completed fingerprint cards.Application to Review Alabama Criminal History Record Information.Appendix - Verification of Other State Licenses.Online Application for PA License ( Instructions/Checklist).On the date of application, be board certified by the ABA or AOB.Hold a current, unrestricted license to practice medicine in Alabama and practice in the medical specialty of anesthesiology.Successful completion of a training program accredited by CAHEA.On the date of application, has practiced medicine for at least one year if board certified since completion of residency or postgraduate education or has practiced medicine for at least three years since completion of residency or postgraduate education.Hold a current, unrestricted license to practice medicine in Alabama.Documentation submitted through the Federation Credentials Verification Service (FCVS) may be accepted to demonstrate compliance with the credentialing requirements.Submit to a criminal history background check.Successful completion of a training program accredited by the ARC-PA.Processing time for licensure is four to six weeks.Įligibility Requirements Physician Assistant.Applications are placed on the next available Board agenda, and the applicant is notified of approval or non-approval.Apply for registration to a supervising physician/anesthesiologist (at the same time as or following license application).Apply for a license to practice as a Physician Assistant or Anesthesiologist Assistant.License and Registration to Practice as an Assistant to Physicians
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