Applications and requests for services (referred to as Service Requests) are processed in DELPROS, our online licensing portal. DELPROS provides you with instructions for submitting the forms required to complete a license application or service request. The submission method depends on the type of form. Some forms you can upload directly to your application or service request as an attachment in DELPROS.  Others must be mailed to the office and you must “acknowledge” the submission in DELPROS. Follow the directions in DELPROS to avoid delays in the processing of your application or service request.

Forms for Licensure

• Physician Service Letter

• Physician Verification of Medical Education

• Physician Verification of Post-Graduate Medical Training

• Child Protection Registry Consent Form

• Verification of Physician Assistant Education

• ACGME Verification of Director Training Program

• Chief Administrative Officer Statement for ACGME Renewal

• Verification of RCP Education

Other Forms

• Midwife Disclosure

• Emergency Care

• Informed Consent

• Risk Assessment (1)

• Risk Assessment (2)

• Physician Self Report Form

• Federal Bureau of Investigation Non-Criminal Justice Application’s Privacy Rights