Forms & Information Required for Licensure and Certification in Vermont
All applicants must complete both the online application and the forms below. Applications will not be complete without the submission of the forms that must be downloaded from this site. We encourage electronic submission of these forms by sending them to AHS.VDHMedicalBoard@vermont.gov.
Forms are provided in a fillable PDF format. Digital signatures are acceptable when completing these documents. To access the digital signature portion of the fillable format, you must download and complete the form in Adobe. Free versions of Adobe can be found at Download Adobe Acrobat Reader: Free PDF viewer. Instructions to setup an Adobe digital signature can be found here.