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Department of Health Professions
Forms and Applications by Profession

Click on a profession to view applications and forms.

ProfessionBoard
Administrator-in-TrainingLong-Term Care Administrators
Advanced Certified Nurse AideNursing
ALF-Administrator-In-TrainingLong-Term Care Administrators
Applied PsychologistPsychology
Assisted Living Facility AdministratorLong-Term Care Administrators
Assisted Living Facility PreceptorLong-Term Care Administrators
Associate Social WorkerSocial Work
Athletic TrainerMedicine
AudiologistSpeech Pathology/Audiology
Authorization to PrescribeNursing
Branch EstablishmentFuneral Directors and Embalmers
Business Controlled Substances RegistrationPharmacy
Certified Massage TherapistNursing
Certified Nurse AideNursing
Certified Substance Abuse CounselorCounseling
ChiropractorMedicine
Clinical Nurse SpecialistNursing
Clinical PsychologistPsychology
Continuing Education ProviderPsychology
Cosmetic Procedure CertificationDentistry
Courtesy CardFuneral Directors and Embalmers
CrematoriesFuneral Directors and Embalmers
Dental Full Time FacultyDentistry
Dental HygienistDentistry
Dental Hygienist TeacherDentistry
Dental Restricted VolunteerDentistry
Dental TeacherDentistry
Dental Temporary PermitDentistry
DentistDentistry
Dentist Restricted PermitDentistry
Dentist-Temporary ResidentDentistry
Direct Access CertificationPhysical Therapy
EmbalmerFuneral Directors and Embalmers
Equine Dental TechnicianVeterinary Medicine
Funeral DirectorFuneral Directors and Embalmers
Funeral EstablishmentFuneral Directors and Embalmers
Funeral Service InternFuneral Directors and Embalmers
Funeral Service ProviderFuneral Directors and Embalmers
Humane SocietyPharmacy
Interns & ResidentsMedicine
Licensed AcupuncturistMedicine
Licensed Clinical Social WorkerSocial Work
Licensed Marriage and Family TherapistCounseling
Licensed MidwifeMedicine
Licensed Nurse PractitionerNursing
Licensed Practical NurseNursing
Licensed Professional CounselorCounseling
Licensed Social WorkerSocial Work
Limited Radiologic TechnologistMedicine
Limited Use Pharmacy TechnicianPharmacy
Medical Equipment SupplierPharmacy
Medication AideNursing
Medicine & SurgeryMedicine
Mobile Dental FacilityDentistry
Non-resident PharmacyPharmacy
Non-resident Wholesale DistributorPharmacy
Non-restricted ManufacturerPharmacy
Nursing Home AdministratorLong-Term Care Administrators
Nursing Home PreceptorLong-Term Care Administrators
Occupational TherapistMedicine
Occupational Therapy AssistantMedicine
Optometrist-Non Therapeutic Pharmaceutical AgentsOptometry
Optometrist-Therapeutic Pharmaceutical Agents CertifiedOptometry
Oral/Maxillofacial Surgeon RegistrationDentistry
Osteopathy & SurgeryMedicine
Permitted PhysicianPharmacy
PharmacistPharmacy
PharmacyPharmacy
Pharmacy InternPharmacy
Pharmacy TechnicianPharmacy
Physical TherapistPhysical Therapy
Physical Therapist AssistantPhysical Therapy
Physician AssistantMedicine
Physician Selling Controlled SubstancesPharmacy
PodiatryMedicine
Professional DesignationOptometry
Radiologic TechnologistMedicine
Radiologist AssistantMedicine
Registered NurseNursing
Registered Social WorkerSocial Work
Rehabilitation ProviderCounseling
Respiratory Care PractitionerMedicine
Restricted ManufacturerPharmacy
Restricted VolunteerMedicine
School PsychologistPsychology
School Psychologist-LimitedPsychology
School Speech PathologistSpeech Pathology/Audiology
Sex Offender Treatment ProviderPsychology
Speech PathologistSpeech Pathology/Audiology
Substance Abuse Counseling AssistantCounseling
Substance Abuse Treatment PractitionerCounseling
Surface Transport & Removal ServicesFuneral Directors and Embalmers
University Limited LicenseMedicine
VeterinarianVeterinary Medicine
Veterinary Establishment - Full ServiceVeterinary Medicine
Veterinary Establishment - RestrictedVeterinary Medicine
Veterinary TechnicianVeterinary Medicine
WarehouserPharmacy
Wholesale DistributorPharmacy

Other Department Forms