Select the link below for the complete application/form for Licensed Medical Physicists:
Application for Licensure Packet for a Professional Medical Physicist (Word format, 172 KB)
Application for Licensure Packet for a Professional Medical Physicist (Adobe Acrobat format, 172 KB)
Renewal Form for Medical Physicist (Word format, 65 KB)
Renewal Form for Medical Physicist (Adobe Acrobat format, 28 KB)
Temporary Licensed Medical Physicist Renewal Form (Word format, 99 KB)
Temporary Licensed Medical Physicist Renewal Form (Adobe Acrobat format, 68 KB)
Application to Upgrade Temporary License (Word format, KB)
Application to Upgrade Temporary License (Adobe Acrobat format, 73 KB)
Professional Reference Form (Word format, 39 KB)
Professional Reference Form (Adobe Acrobat format, 31 KB)
Agreement of Supervision Form (Word format, 88 KB)
Agreement of Supervision Form (Word format,87 KB)
Verification of Licensure (Word format, 34 KB)
Verification of Licensure (Adobe Acrobat format, 18 KB)