Requirements for All Applicants
- Submit completed, signed and notarized application form.
- Enclose processing fee by check or money order made payable to “State of Delaware.”
- Complete the Criminal History Record Check Authorization form to request
State of Delaware and Federal Bureau of Investigation
criminal background checks. Follow the instructions on the authorization form to arrange to be fingerprinted.
- If you ever held a medical or training license in any jurisdiction other than Delaware, arrange for the Board office to receive a Verification of Physician License form directly from each jurisdiction where you have held a license.
- If you previously practiced medicine (other than as an intern, resident, fellow or house physician), arrange for the Board office to receive a Service Letter from each healthcare facility where you currently have, or you had within the past five years, either direct patient access or admitting or staff privileges.
- A responsible physician at the facility must sign the form.
- Facilities must return the forms directly to the Board office within 10 days of receiving the request. The forms may be mailed, faxed or emailed to the Board office.
- If any of the following describes your situation, arrange for the Board office to receive two letters of reference from physicians who are familiar with you but are not related to you:
- You were self-employed for the past five years, or
- You had no direct patient access during the past five years, or
- One or more of the facilities where you had direct patient access in the past five years no longer exists.
- If you answer “yes” to questions in the DISCLOSURES section - other then Questions 31, 33, 34 - you must fully explain your answer. We suggest that you use the Physician Self-Report form for this purpose. However, if the Physician Self-Report does not fully cover your situation, submit a signed, notarized statement in lieu of or in addition the Physician Self-Report.
- Request a self-query from the National Practitioner and Healthcare Integrity and Protection Data Banks (NPDB/HIPDB) website at www.npdb-hipdb.hrsa.gov. The self-query report will be mailed to your address. When you receive the report, mail (do not fax) the original report to the Board office.
- Complete, sign and submit the Delaware Child Protection Registry Request Form to the Department of Services for Children, Youth & Their Families following the instructions on the form.
Additional Requirement for FCVS Applicants
Delaware accepts the Federation Credentials Verification Service (FCVS) of the Federation of State Medical Boards (FSMB). For more information, see www.fsmb.org/fcvs_physician.html.
- Arrange for the Board office to receive your Physician Information Profile from FCVS.
Additional Requirements for Non-FCVS Applicants
If you are not using the FCVS service, the following requirements apply.
- Submit an 8 1/2" X 11" copy of your medical school diploma. If it is not in English, attach an English translation from a reputable translating organization.
- Arrange for the Board office to receive a Verification of Medical Education from each medical school you attended, sent directly from each school to the Board office.
- If you graduated from a foreign medical school, submit 8 1/2" X 11" copy of your current and valid Educational Commission for Foreign Medical Graduates (ECFMG) certificate.
- Submit an 8 1/2" X 11" copy of your Postgraduate Education Training Certificate(s).
- Only training programs are those that have been approved by the Accreditation Council for Graduate Medical Education will be accepted.
- If you graduated from a program approved by the American Medical Association (AMA) or American Osteopathic Association (AOA) in the U.S. (or U.S. territory) or Canada, you must have completed one year of postgraduate training in the U.S.
- If you did not graduate from an AMA- or AOA-approved program, you must have completed three years of postgraduate training in the U.S.
- Arrange for the Board office to receive a Verification of Post Graduate Medical Education form from each program that you attended, sent directly from the program to the Board office.
- Request a complete examination history, including all passing and failing attempts, sent directly to the Board office from the following organizations:
- ECFMG – Request report at www.ecfmg.org.
- Federal Licensing Examination (FLEX), United States Medical Licensing Examination (USMLE), and Special Purpose Examination (SPEX) examinations administered by the Federation of State Medical Boards – Request report at www.fsmb.org.
- National Board of Medical Examiners (NBME) examination administered by the National Board of Medical Examiners – Request report at www.nbme.org.
- National Board of Osteopathic Medical Examiners (NBOME) Comprehensive Osteopathic Medical Licensing Examination (COMLEX-USA) examinations administered by the National Board of Osteopathic Medical Examiners. Request report at www.nbome.org
- Qualifying Examination (QE) Part I and Part II conducted by the Medical Council of Canada for the purpose of awarding the "Licentiate of the Medical Council of Canada" (LMCC). Request report at www.mcc.ca.
Controlled Substance Registration
- If you apply for your Physician license and CSR at the same time, the Controlled Substance application will be processed after your Physician license is issued. When your Delaware CSR is approved, you must then file for a federal DEA registration.
- Delaware law prohibits, with few exceptions, prescribing of controlled substances to patients in Delaware via the internet or telemedicine. You may contact the Office of Controlled Substances if you wish to discuss this matter.