- Residency Requirements:
- In this state, residency programs may or may not require a variety of different documentation to begin the program. Therefore, you must reach out to your residency program before submitting a request with the Licensing and Credentialing team to ensure you are including all imperative required documentation.
- Licensing Requirements
- Board Certified Applicants
- Official Transcript
- Dean’s Certification Form- Form D
- Please complete any sections of the form that are required to be completed by the applicant. Be sure to include a photo and photo signature in the indicated section on the form. You must fill out the “Name” portion of the form before sending it to us when you submit your request through. If you do not complete the required sections or include your name, we cannot complete the form.
- Please complete any sections of the form that are required to be completed by the applicant. Be sure to include a photo and photo signature in the indicated section on the form. You must fill out the “Name” portion of the form before sending it to us when you submit your request through. If you do not complete the required sections or include your name, we cannot complete the form.
- Non-Board-Certified Applicants
- Official Transcript
- Clinical Evaluations
- The LCV team will provide this on your behalf.
- Letter Confirming Curriculum Weeks
- The LCV team will provide this on your behalf.
- Dean’s Certification Form- Form D
- Please complete any sections of the form that are required to be completed by the applicant. Be sure to include a photo and photo signature in the indicated section on the form. You must fill out the “Name” portion of the form before sending it to us when you submit your request through. If you do not complete the required sections or include your name, we cannot complete the form.
- Board Certified Applicants