Complete the Criminal History Record Check Authorization form to request State of Delaware and Federal Bureau of Investigation criminal background checks. Follow the instructions on the authorization form to arrange to be fingerprinted. The State Bureau of Identification will send the report directly to the Board office.
Upload proof of 40 hours of Category I AMA Continuing Medical Education that you have completed in the past two years.
Unless an exception listed below applies, obtain and upload a Service Letter from each healthcare facility where you currently have, or had within the past three years, either direct patient access or admitting or staff privileges. A responsible physician at the facility must sign the form.
You were practicing as an intern, resident, fellow, or house physician for the past three years.
Your practice for the past three years was via telemedicine with no direct patient access.
You were locum tenens with no direct patient access for the past three years.
If you ever held a medical or training license in any jurisdiction (state, District of Columbia, or U.S. territory) other than Delaware, you must provide a license verification from each jurisdiction where you currently hold or have held a license.
You may wish to obtain an AMA Profile or AOA Profile in order to make sure that you request verifications of all licenses that you have ever held.
If a jurisdiction utilizes VeriDoc to process license verifications, you must request the verification from VeriDoc, not from the jurisdiction. VeriDoc will send the verification directly to the Board office. For a list, click VeriDoc Participating States.
If you apply for your Physician license and CSR at the same time, the Controlled Substance application will be processed after your Physician license is issued. When your Delaware CSR is approved, you must then file for a federal DEA registration.