Welcome to the Florida Board of Osteopathic Medicine Online Resources – a tool for accessing applications, forms, statutes, rules and other important information.
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As of July 2016 you may now submit an online application to expedite processing for the following licenses/registrations/certification:
1. Osteopathic Physician License Application
2. Osteopathic Physician Expert Witness Certificate
3. Osteopathic Physician/Resident In Training License Application
4. Temporary Certificate for Active Duty Military and Veterans Practicing in Areas of Critical Need
5. Temporary Military License For Spouses of Active Duty Members of the Armed Forces
6. Active Military, Veteran, or Spouse of Active Military (VALOR)
Forms & Requests
Physician Office Adverse Incident Report (pdf)
Fieldprint Applicant Scheduling Aid (pdf)
Osteopathic Physician Dispensing Application (pdf)
Cataract Operation Informed Consent (pdf)
Financial Responsibility Form (pdf)
Electronic Fingerprinting Form (pdf)
APRN/EMT/Paramedic Protocol Form (pdf)
Medical Marijuana Consent Form (pdf)
Statutorily required documentation
Information sent to Qualified Physicians – Feb 2019 (pdf)
Postgraduate Training Evaluation Form (pdf)
Statutorily Required Documentation-Smokable Medical Marijuana (pdf)
Electronic Prescribing Waiver (pdf)
Address Change Form (pdf)
Name Change Form (pdf)
Exhibit I Form (pdf)
PDF Applications
Application for Full Licensure (pdf)
Initial & Renewal of Registration as Resident/Intern/Fellow
Osteopathic Physician in Training (pdf)
Limited Licensure Application (pdf)
Osteopathic Physician Dispensing Application (pdf)
Temporary Certificate for Practice in an Area of Critical Need Application (pdf)
Medical Faculty Certificate (pdf)
Reactivation Application (pdf)
Temporary Application for Military Spouses (pdf)
Temporary Certificate for Active Duty Military and Veterans Practicing in Areas of
Critical Need (pdf)
Office Surgery Registration Applications and Forms
Office Surgery Registration ApplicationNEW
Office Surgery Registration Application CURRENTLY REGISTERED WITH THE DEPARTMENT – Complete the highlighted portions of the application. You may send the completed application to PMC_OSR@flhealth.gov
Physician Office Adverse Incident Report
You may send the completed application, including documentation, by mail:
Department of Health
Board of Medicine
Post Office Box 6330
Tallahassee, Florida 32314-6330
If you need assistance, please contact the board office at 850-245-4131 or send an email to PMC_OSR@flhealth.gov.
Pain Management Clinic Applications and Forms
Initial Licensure – Facility (Required)
Mandatory Insert for 456.0635 Questions – Facility
Application for Certificate of Exemption NEW
SUBMITTING THE APPLICATION FOR EXEMPTION FROM PAIN MANAGEMENT CLINIC REGISTRATION
You may send the completed application, including documentation, by mail:
Department of Health
Board of Medicine
Post Office Box 6330
Tallahassee, Florida 32314-6330
If you need assistance, please contact the board office at 850-245-4131 or send an email to PMC_OSR@flhealth.gov.
Associations & Organizations
American Medical Association
515 North State Street | Chicago, IL 60610
312.464.5000
American Osteopathic Association
142 East Ontario Street | Chicago, IL 60611
800.621.1773
Drug Enforcement Agency (DEA)
8400 Northwest 53rd Street | Miami, FL 33166
305.590.4870
Federation of State Medical Boards
400 Fuller Wiser Road, Suite 300 | Euless, TX 76039
817.868.4072
Florida Hospital Association (FHA)
Florida Osteopathic Medical Association (FOMA)
2007 Apalachee Parkway | Tallahassee, FL 32301
850.878.7364
National Board of Osteopathic Medical Examiners (NBOME)
2700 River Road, Suite 407 | Des Plaines, IL 60018
847.635.9955
National Practitioner’s Data Bank (NPDB)
Post Office Box 10832 | Chantilly, VA 22021
800.767.6732
Neurological Injury Compensation Association (NICA)
Post Office Box 14567 | Tallahassee, FL 32317-4567
850.488.8191
Florida Statutes & Administrative Codes
Click on Chapter or Rule to View
Florida Statutes
You will be connected to the Florida Legislature website, which is the official custodian of the statutes.
Chapter 459: Osteopathic Medicine
Chapter 456: Health Professions and Occupations: General Provisions
Chapter 120: Administrative Procedure Act
Florida Administrative Code (F.A.C.)
You will be connected to the Florida Department of State: State Library and Archives of Florida website, which is the official custodian of the administrative codes.
Rules: Chapter 64B15: Board of Osteopathic Medicine, Florida Administrative Code
Rules: Chapter 64B: Division of Medical Quality Assurance, Florida Administrative Code
Helpful Links
Information on Nonopioid Alternatives for the Treatment of Pain
Medical Assistants (pdf)
Don’t Retire – Volunteer (pdf)
VeriDoc License Verification Service
Counterfeit-Proof Prescription Program
Health Care Clinic Establishment Permit
Public School Volunteer Practitioner Program
Newest legislation regarding health care regulation
Newest legislation regarding health care fraud and convictions
Declaratory Statements and Petitions for Variance or Waivers
Multistate Epidemiological Investigation Associated with Sterile Injections
New Reporting Requirements for Sexually Transmitted Diseases(pdf)
Office of Medical Marijuana Use
Office of Medical Marijuana Use Website
January 1, 2019 Physician Certification Pattern Review Panel Annual Report
January 1, 2020 Physician Certification Pattern Review Panel Annual Report
Medical Marijuana Consent Form (pdf)
Statutorily required documentation (pdf)
Statutorily required documentation – Smokeable Medical Marijuana (pdf)
Media & Publications
Physician Certification Pattern Review Panel Annual Report
January 1, 2019 Report
(pdf – 6.9mb)
January 1, 2020 Report
(pdf – 4kb)
January 1, 2021 Report
Physician Certification Pattern Review 2021 Annual Report
(pdf – 2mb)
Data Tables for Physician Certification Pattern Review 2021 Annual Report
(pdf – 3mb)
Telehealth Information & Out-of-State Telehealth Provider Registration
