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Oklahoma Board of Medical Licensure and Supervision

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MD Application Instructions - Instructions for Applying for Licensure/Examination/Reinstatement Revised August 2021
MD INITIAL LICENSE APPLICATION Click on the link to the left to fill out your Application for MD licensure Online. This is for New Licenses and Reinstatements only. This link is for Medical Doctors (MD) Only. If you are applying for a DO license, please apply through the DO Board website or call them at (405) 528-8625.
MD Compact License - Effective Feb. 1, 2020 Oklahoma joined the Interstate Medical Licensure Compact. If your State of Principal Licensure is also a member, you may quickly and easily apply through the compact for an Oklahoma MD license.
Evidence of Status Form - Legislation took effect November 1, 2007, requiring the Board of Medical Licensure and Supervision to issue a license only to U.S. citizens, nationals and legal permanent resident aliens; and to applicants who present valid documentary evidence of: A valid, unexpired immigrant or nonimmigrant visa status for admission into the U.S.; A pending or approved application for asylum in the U.S.; Admission into the U.S. in refugee status; A pending or approved application for temporary protected status in the U.S.; Approved deferred action status; or A pending application for adjustment of status to legal permanent residence status or conditional resident status.

Applicants in the above six categories will only be eligible to receive a license card that is valid for the time period of their authorized stay in the U.S., or if there is no date of end to the time period of their authorized stay, for one year. The information will be verified through the Systematic Alien Verification for Entitlements (SAVE) Program, operated by the U.S. Department of Homeland Security.

In order to verify citizenship or qualified alien status, applicants for licensure by endorsement or examination or for reinstatement of their license, must submit an Evidence of Status Form and the required supporting documentation with their application.

Jurisprudence handbook - Updated: April 2024
Photo & Oath Required for MD Application
Form 1 - Graduation Verification
Form 2 - VERIFICATION OF COMPLETED POST-GRADUATE TRAINING
Form 3 - VERIFICATION OF Licensure
Form 4 - VERIFICATION OF CLINICAL CLERKSHIP
Extended Background Check (EBC) Consent to Perform Criminal History Background Check in Compliance with the FCRA (Fair Credit Reporting Act)
Application for Modification - submit this form for a Name Change on an existing license along with official documentation (copy of marriage license, divorce decree, etc) and fee.
Sample Letter - Terminating the Doctor/Patient Relationship - updated November 2011
Board Approved - Certification Boards & Sub-Specialties as of April 2024
Non-ABMS Board Certification Application This request form is for the approval/denial of the applicant to advertise as Board Certified from a specific non-ABMS Board.
APPLICATION FOR SPECIAL VOLUNTEER MEDICAL LICENSE updated May 2013
Volunteer Practice Setting Information-updated May 2013
Volunteer License - Law/Rule
Volunteer License - Instructions - May 2013
Perinatal Hospice Report Effective November 1, 2014, Oklahoma Law, 63 O.S. § 1-746.2, MDs performing abortions are required to fill out this report MONTHLY verifying materials were presented to their patients at least 24 hours prior to the procedure. Please use this link for procedures performed in 2024
Perinatal Hospice information for Patients
Información Hospicio Perinatal para Paciente (en Espanol) - Spanish Language version of Perinatal Hospice Information for Patients.
Board Secretary Approval Request Form - 07/2023 This form is to request Board Secretary to approve changes to terms as listed in an application agreement and/or probation order for licensees.
POLST - Oklahoma Physician Orders for Life-Sustaining Treatment – This form shall accompany a person when transferred or discharged. Please direct all questions about this form to the Oklahoma Attorney General’s Office at: (405) 521-3921
Oklahoma Hospitals and Healthcare Guide - online directory
Time Deficiencies - Use this form to report gaps in your employment history when applying for a license.