Instructions/Application

Instructions for Online Application

The application may be submitted online. (If you prefer you may submit a paper application form, see instructions below.)
  1. The fee for the online application is $205.00, payable by credit or debit card (Visa, Mastercard or American Express) upon submission of the online application.  The background check fee in the amount of $40.00 is payable only by money order to the Office of the Attorney General.  This money order should be mailed, with two fingerprint cards, to the Board. 
  2. If you do choose to use the services of the  FCVS, you do not need to separately request the verification of Medical Education, licensing exam transcript, and ECFMG verification status as these items will be a part of your FCVS packet. NEW:  Physicians working with a locum tenens firm who are using the FCVS do not need to request the National Practitioner Data Bank (NPDB) as this report is now part of the FCVS credentials packet.
  3. A recent unmounted photograph of yourself must be uploaded or mailed (including your full name on the back of the photo) with your two fingerprint cards. The photograph must be of original passport quality, no larger than wallet size and should be a close-up front view of head and shoulders taken no longer than 90-120 days prior to filing this application.
  4. The following documents shall be submitted to the Board’s office electronically or by fax (701-328-6505):
    1. Photocopy of diploma from medical school (if not printed in English, an English translation must be included).
    2. Photocopy(s) of all internship/residency/fellowship certificates.
    3. Photocopy(s) of American Board certificate(s) and/or Canadian Board certificate(s).
    4. Notarized photocopy of marriage certificate or legal name change document if your name differs from that on any of your documents.
    5. Photocopy of ECFMG certificate (Required of graduates of international medical schools except those schools located in Canada, England, Scotland, Ireland, Australia, and New Zealand.
  5. You must request an ECFMG status report to be sent directly from the ECFMG to our Board.
  6. The Certificate of Medical Education form must be completed by your medical school and must be sent directly from your medical school to the North Dakota Board of Medicine by mail or fax (701-328-6505).
  7. You must sign and date the Affidavit and return it to us electronically or via fax (701-328-6505).  We cannot process your application without this completed form.
  8. You must direct the licensing board of every state/province where you have ever applied for any type of medical license (regardless of whether the license was granted or not granted, is active or inactive, temporary or permanent, restricted or unrestricted) to provide the North Dakota Board of Medicine with verification of your licensure status. The Board accepts license verifications provided through VeriDoc. Verification requests made via veridoc.org are sent to our board electronically.
  9. You must request the appropriate organization to send an original transcript of your licensing exam scores to the North Dakota Board of Medicine. NOTE:  The ND Board of Medicine allows no more than three attempts per step, part or component of a licensing exam and all steps, parts, components must be completed within a 7-year time period.
  10. You must submit a completed Criminal History Record Check Request form and two fingerprint cards.  Fingerprint cards should be available at local law enforcement offices and at other companies who provide fingerprinting services. You should call your local law enforcement office for times and locations if fingerprinting services are available. Please be sure to bring a photo ID. A small fee ($5-$10) may be required.

    DO NOT BEND OR FOLD the fingerprinting cards when mailing them to us as they will be rejected and you will be required to be fingerprinted again. Instructions for completing the fingerprint cards are found here.

Click here to begin the online application process.

Instructions for Paper Form

If you prefer you may submit a paper application form, click here to download the application form (hard copy). Paper applications must be returned to the Board's office along with the following documents:
  1. $200.00 application fee payable by check or money order only in U.S. currency to the ND Board of Medicine and a money order only for $40.00 payable to Office of the Attorney General for the background check fees. 
  2. Photocopy of diploma from medical school (if applicable, an English translation must be included).
  3. Photocopy(s) of all internship/residency/fellowship certificates.
  4. Photocopy(s) of American Board certificate(s) and/or Canadian Board certificate(s).
  5. Notarized photocopy of marriage certificate or legal name change document if your name differs from that on any of your documents.
  6. One recent unmounted photograph of yourself should be affixed to Page 7 of the application. The photograph must be of original passport quality, no larger than 2" x 3" and no smaller than 2" x 2" and should be a close-up front view of head and shoulders taken no longer than 90-120 days prior to filing this application. If you are applying online, you may upload a photograph.
  7. Photocopy of ECFMG certificate (Required of graduates of international medical schools except those schools located in Canada, England, Scotland, Ireland, Australia, and New Zealand). You must also request an ECFMG status report to be sent directly from the ECFMG to our Board.
  8. The Certificate of Medical Education form must be completed by your medical school and must be sent directly from your medical school to the North Dakota Board of Medicine by mail or fax (701/328-6505).
  9. You must direct the licensing board of every state/province where you have ever applied for any type of medical license (regardless of whether the license was granted or not granted, is active or inactive, temporary or permanent, restricted or unrestricted) to provide the North Dakota Board of Medicine with verification of your licensure status. The Board accepts license verifications provided through VeriDoc.
  10. You must request the appropriate organization to send an original transcript of your licensing exam scores to the North Dakota Board of Medicine (See item #6 of the application for further details).  NOTE:  The ND Board of Medicine allows no more than three attempts per step, part or component of a licensing exam and all steps, parts, components must be completed within a 7-year time period.
  11. You must submit a completed Criminal History Record Check Request form and two fingerprint cards. Fingerprint cards should be available at local law enforcement offices and at other companies who provide fingerprinting services. You should call your local law enforcement office for times and locations and to see if fingerprinting services are available. Please be sure to bring a photo ID. A small fee ($5-$10) may be required. DO NOT BEND OR FOLD the fingerprinting cards when mailing them to us as they will be rejected and you will be required to be fingerprinted again.  Instructions for completing the fingerprint cards are found here.
  12. Your application and supporting documents should be mailed to: NORTH DAKOTA BOARD OF MEDICINE, CITY CENTER PLAZA, 418 EAST BROADWAY AVE., SUITE 12, BISMARCK, ND 58501

Notes

  1. Documents, which are required to be notarized, must include a statement from a notary public attesting to the fact that the photocopy is a true copy of the original documents.
  2. The North Dakota Board of Medicine does accept the Physician Information Profile produced by the Federation of State Medical Boards Credentials Verification Service (FCVS). You may contact the FCVS toll-free at 1-888-275-3287 if you choose to do so. You are not required to subscribe to the FCVS.

Helpful Hints

SAVE TIME! SAVE MONEY! REDUCE ANXIETY!

The North Dakota Board of Medicine annually processes hundreds of applications for licensure. In each case, the Board conducts a thorough evaluation of medical credentials, employment or work history, malpractice history, and disciplinary history. This process takes time - anywhere from a few weeks to several months, depending in large part upon how quickly the applicant complies with what is requested of his/her and the nature of any problems requiring closer scrutiny. In spite of the fact that there is no guarantee of licensure, some applicants make commitments to start work at a certain time and later find that the commitment cannot be kept. Please remember that the Board will not accelerate one application at the expense of another, nor will it forego any elements of its screening process. The following suggestions are offered to help those who apply for licensure, as well as those who recruit physicians:

  1. Give the Board enough time to do its job. For something as important as a medical license, two months lead-time is not unreasonable.
  2. Don't make commitments on loans, practice start dates, home purchases, etc., until a license is granted. Not all physicians who apply will receive a license. Don't set yourself or your colleagues up for disappointment or financial setbacks based on mere speculation.
  3. Make sure all application materials are sent to the Board as quickly as possible, in accordance with the directions set forth in the application packet. Deadlines are strictly enforced. Don't waste valuable time assuming that an exception will be made or that a requirement will be waived for you.
  4. If there are items on the application about which the Board desires additional information, or if there is any derogatory information that comes to light, it may take the application longer to get through the review process.
  5. Remember that regardless of the date of issuance, all licenses expire on the birth month/day of the licensee. 
  6. The North Dakota Board of Medicine does accept the Physician Information Profile produced by the Federation of State Medical Boards Credentials Verification Service (FCVS). You may contact the FCVS toll-free at 1-888-275-3287 if you choose to do so. You are not required to subscribe to the FCVS.