Rules and regulations - A hard copy is available from the Board office upon request.  Remember to include your mailing address with your request.

Name Change - Will be made only when a copy of an official document (marriage certificate, divorce decree or court order) is submitted with a letter of request.  The fee for a duplicate license is $5.00 (check or money order) payable to the Commonwealth of PA.

Address change - Written requests should include the old address, new address and license number and social security number.  The Board must be notified within 10 days of any change in address.

Verification of License to Another State - Submit a $15.00 personal check or money order payable to "Commonwealth of PA" for each verification, along with a written request that includes the licensee name, Pennsylvania license number and where the verification is to be sent.
 

OSTEOPATHIC PHYSICIAN AND SURGEON (DO)

Application for Osteopathic Physician Unrestricted License

Application for a Short Term Camp Physician License  

Volunteer License Application

PHYSICIAN ASSISTANT (PAC)

Application for Registration as a Physician Assistant

Application for Registration as a Supervising Physician 

Application for Approval of a Satellite Location

Physician Assistant Supervisor Written Agreement Change Form

Written Agreement - Physician Assistant Prescriptive Authority 

RESPIRATORY THERAPIST (RT)

Application for Licensure as a Respiratory Therapist

ATHLETIC TRAINER (ATC)

Application for Athletic Trainer Licensure

ACUPUNCTURIST

Application for Registration as an Acupunturist

PERFUSIONIST

Application for Perfusionist License

Application for Temporary Graduate Perfusionist License

Application for Temporary Provisional Perfusionist License

Application for Temporary Emergency Perfusionist Registration

REACTIVATION/STATUS CHANGE APPLICATIONS

Physician/Surgeon

Allied Health Professionals

ALL OTHER APPLICATIONS/FORMS

Change of Name and/or Address
Request for Verification/Certification of Licensure and Exam Scores
Application to be Scheduled for the Examination of the Auxiliary Personnel Performing Radiologic Procedures

Questions regarding practice of this profession may be directed to the Office of the State Board: 

Board Administrator, State Board of Osteopathic Medicine, P.O. Box 2649, Harrisburg, PA  17105-2649, (717) 783-4858.  e-mail: ST-OSTEOPATHIC@pa.gov

Osteopathic Manipulation Therapy (OMT) Examination: 

For examination application contact:  Professional Credential Services, Inc. (PCS), P.O. Box 198689, Nashville, TN  37219-8689.  Phone 1-877-887-9727.  Completed applications are submitted directly to PCS.  Deadline for accepting completed applications is 60 days prior to date of exam.  Fee is $215.00.  Re-Examinees:  $170.00.   (Fees subject to change.)  

Professional Credential Services, Inc. web address: www.pcshq.com

Auxiliary Personnel Performing Radiologic Procedures:

Examination in Radiography
Examination in Nuclear Medicine Technology
Examination in Radiation Therapy Technology
Limited Examination in Radiography - Thorax and Extremities
Limited Examination in Radiography - Skull and Sinuses

Completed applications are submitted directly to the State Board of Osteopathic Medicine, P.O. Box 2649, Harrisburg, PA 17105, FAX 717-787-7769. Fees are subject to change.

Examinations are administered as computer based tests (CBT) with the Pearson VUE.

Proof of completing 100 credit hours of continuing medical education is required for the renewal of the license to practice osteopathic medicine and surgery. Twenty hours must be in AOA Category 1-A approved courses. At least 12 credit hours shall be completed in Category 1 or Category 2 approved activities in the area of patient safety and risk management. Approved activities in the area of patient safety and risk management may include topics such as improving medical records and recordkeeping, reducing medical errors, professional conduct and ethics, improving communications, preventative medicine and healthcare quality improvement. The remaining credit hours shall be completed in any Category 1 or Category 2 approved activities. Credit will not be granted for courses in office management or practice building.