To apply for a Certificate to Practice Medicine and Surgery in the State of Delaware, applicants must meet the following requirements:

Applicants must submit all of the items listed below unless you are utilizing the Federation of State Medical Board's (FSMB), Federation Credentials Verification Service (FCVS). If you are utilizing the FSMB, FCVS, you would need to submit in addition to the Physician Information Profile, items numbered 1, 5, 9, 10, 11 and 12 below:

1. Application

Please type (or print legibly) when completing the application. You must read every question carefully and answer it thoroughly. Your application must be signed and notarized.

Please note: Failure to answer any question or failure to answer any question truthfully may be considered falsification of your application for licensure and may lead to a denial of your application.

2. Copy of Medical School Diploma

Submit an 8 1/2" x 11" copy of your diploma. If you are a foreign medical graduate, attach an English translation from a reputable translating organization.

4. Copy of Postgraduate Training Program’s Certificate(s)

• Submit a copy of you postgraduate training program certificate(s).
• Applicants who have graduated from a program approved by the American Medical Association (AMA) or American Osteopathic Association (AOA) in the United States (or its territories) or Canada must have completed one year of postgraduate training in the United States.
• All other applicants must have completed three years of postgraduate training in the United States.

Note: Acceptable training programs are one those approved by the Accreditation Council for Graduate Medical Education.

• The Educational Commission for Foreign Medical Graduates (ECFMG). If you are a foreign medical school graduate, submit a copy of your ECFMG Certificate with your application. You must also request an official complete status report (include all passing and failing attempts). This report must be sent directly to the Delaware Board of Medical Practice office. You may obtain this request online at http://www.ecfmg.org or submit to:

• The Federal Licensing Examination (FLEX), United States Medical Licensing Examination (USMLE), and Special Purpose Examination (SPEX) examinations are administered by the Federation of State Medical Boards. You must request a complete examination history (include all passing and failing attempts). You may obtain this request online at http://www.fsmb.org or submit your request to:

This report must be sent directly to the Delaware Board of Medical Practice office.

• The National Board of Medical Examiners (NBME) examination is administered by the National Board of Medical Examiners. If you have taken any of these examinations, you must request a Record of Scores with a complete examination history (include all passing and failing attempts). You may obtain this request online at http://www.nbme.org/programs/nbmecert.asp or submit to:

This report must be sent directly to the Delaware Board of Medical Practice office.

• The National Board of Osteopathic Medical Examiners (NBOME) Comprehensive Osteopathic Medical Licensing Examination (COMLEX-USA) examinations are administered by the National Board of Osteopathic Medical Examiners. If you have taken any of these examinations, you must request a complete examination history (include all passing and failing attempts) from the National Board Medical Examiners. Submit your request to:

The official NBOME report must be sent directly to the Delaware Board of Medical Practice office. You can obtain more information online at http://www.nbome.org

• The Qualifying Examination (QE) Part I and Part II are conducted by the Medical Council of Canada for the purpose of awarding the "Licentiate of the Medical Council of Canada" (LMCC). You must request a complete examination history (include all passing and failing attempts) from the Medical Council of Canada. Submit your request to:

This report must be sent directly to the Delaware Board of Medical Practice office. You can obtain more information can be obtained online at http://www.mcc.ca.

7. Verification of medical education

In addition to sending an 8 1/2" X 11" copy of your medical school diploma with your application, the Delaware Board of Medical Practice requires verification of your medical education using the Verification of Medical Education form. If you attended more than one medical school, please provide a copy of this form to each medical school that you attended. Please complete the upper left and right hand portion of the form listing the name of the institution, etc., as well as your personal information prior to forwarding it.This report must be sent from the school directly to the Delaware Board of Medical Practice office with the institutional seal affixed. If no seal is available, the completed form must be notarized. Faxed forms will not be accepted.

8. Verification of postgraduate medical education

In addition to sending an 8 1/2" X 11" copy of your Postgraduate Education Training Certificates with your application, the Delaware Board of Medical Practice requires primary verification of your postgraduate medical education. Please provide a copy of the Verification of Post Graduate Medical Education form to each program that you attended. Please complete the upper left and right hand portion of the form etc., listing the name of the institution, etc. prior to forwarding it. These reports must be sent from the training institution directly to the Delaware Board of Medical Practice office with the institutional seal affixed. If no seal is available, the completed form must be notarized. Faxed forms will not be accepted.

9. Recommendation from Chief of Staff or Chief of Services

Complete the top portion of the Recommendation from Chief of Staff or Chief of Service form. Forward this form to the Chief of Staff or Chief of Service in a medical facility where you currently or previously had privileges. Please complete the upper left and right hand portion of the form by providing the name of the institution, etc., and your personal information prior to forwarding it. The completed report must be sent directly from the hospital/medical facility to the Delaware Board of Medical Practice office with the institutional seal affixed. If no seal is available, the completed form must be notarized. Faxed forms will not be accepted.

10. Verification of licensure in good standing

The Delaware Board of Medical Practice requires primary source verification from all jurisdictions where you currently hold, or have ever held a medical license or training license outside of the State of Delaware. This excludes those physicians who currently hold or previously held a Delaware training license. (Please list your Delaware training license number on page 3 of the application.) Prior to forwarding the form, please check with the individual jurisdictions to determine if any fee is required. The completed verification of licensure report(s) must be sent from their office directly to the Delaware Board of Medical Practice. Internet verifications or FAXED verifications will not be accepted. The Delaware Board of Medical Practice requires verification with the state board seal affixed.

11. Self Query from the National Practitioner Data Bank (NPDB) and Healthcare Integrity and Protection Data Bank (HIPDB)

The Delaware Board requires a self-query report from the NPDB and HIPDB. A self-query report is a practitioner's request for information in the NPDB and HIPDB about himself or herself. All self-query requests are automatically submitted to both the NPDB and the HIPDB. You may request the self-query online at http://www.npdb-hipdb.hrsa.gov or contact the NPDB Help Line at 1-800-767-6732, 8:30 a.m. to 6:00 p.m. Eastern Time (8:30 a.m. to 5:30 p.m. Fridays).

The response to a self-query report is mailed to your address on the application. If the mailing address is not identified, the response is sent to the practitioner's home address. When you receive the Response to Self Query Report from the NPDB and HIPDB, review the information to ensure it is accurate. If the report is correct, submit both the NPDB and HIPDB original report to the Delaware Board of Medical Practice office. Do not fax your original report to the board office.

12. Criminal Background Checks (Effective July 1, 2007)

• Report of your entire criminal history from the SBI or the equivalent agency in your state or a statement from the agency that the state central repository contains no criminal history relating to you
• Report of your entire federal criminal history pursuant to the Federal Bureau of Investigation appropriation of Title II of Public Law 92-544 (28 U.S.C. § 534).

You must request these reports at your own expense. For more information about requesting criminal history records, contact the Delaware SBI at (302) 739-2528 or your local SBI.

13. Personal interview

A personal interview is required of all applicants. After the completed application has been through the Board’s credentialing process, you will be notified in writing whom to contact to schedule your interview.

Temporary License

You may request a temporary license at the conclusion of your interview. The temporary license is valid for 90 days. The purpose of the temporary license is to allow you to practice until the Board approves your application for Physician licensure at its next scheduled meeting. See the Online Calendar for the meeting schedule.