Midwives Application for Licensure
A "licensed midwife" is an individual who has been issued a license to practice
midwifery by the Medical Board of California. The practice of midwifery authorizes
the licensee to attend cases of normal pregnancy and childbirth, and to provide
prenatal, intrapartum, and postpartum care, including family-planning care, for
the mother, and immediate care for the newborn. The practice of midwifery constitutes
the furthering or undertaking by any licensed midwife to assist a woman in childbirth
as long as progress meets criteria accepted as normal.
Licensed midwives, who have achieved the required educational and clinical experience
in midwifery or met the challenge requirements, must pass the North American Registry
of Midwives' (NARM) comprehensive examination. The NARM examination is administered
twice a year, usually in February and August, at various locations throughout the
United States, including at the Medical Board's office in Sacramento. After successful
completion of this examination, prospective applicants are designated as a "certified
professional midwife" and are eligible to submit an application for California midwifery
The profession of midwifery also has another designation, that of "certified nurse-midwife"
(CNM). CNMs are licensed by the California Board of Registered Nursing. CNMs are
registered nurses who acquired additional training in the field of obstetrics and
are certified by the American College of Nurse Midwives (ACNM). They commonly work
in hospitals and birthing centers that also are licensed by the state. Further information
or verification of licensure for a CNM may be obtained by contacting the Board of
Registered Nursing at (916) 322-3350, (800) 838-6828, or at
There are two pathways to licensure as a midwife in California:
Candidates must complete a three-year postsecondary education program in an accredited
midwifery school approved by the board. These schools usually are accredited by
the Midwifery Education and Accreditation Council (MEAC), whose accreditation mirrors
that of the U.S. Department of Education (DOE) requirements, and satisfies Medical
Board of California criteria. Upon completion of educational requirements, including
clinical experience evaluation, the candidate also must successfully complete the
comprehensive licensing examination administered by NARM.
Challenge Mechanism Program
The challenge mechanism program (as defined in Business and Professions Code Section 2513(a)-(c))
offers a midwifery student and prospective applicant the opportunity to obtain credit
by examination for previous midwifery education and clinical experience. In California there are currently two
challenge mechanism programs approved by the Board: Maternidad La Luz (MLL), in El Paso, TX,
and National Midwifery Institute, in Bristol, VT. Upon successful completion
of the challenge mechanism program, the candidate must also successfully complete the comprehensive
licensing examination administered by NARM. The candidate then may submit an application
for California licensure.
Business and Professions Code section 30 requires mandatory disclosure of
a Social Security Number (SSN),
Individual Taxpayer Identification Number (ITIN), or Federal Employer Identification
Number (FEIN). The number is used for
tax enforcement purposes, for purposes of compliance with any judgment order for
family support in accordance with
Section 17520 of
the Family Code, or for verification of licensure or examination status by a
licensing examination entity which
uses a national examination and where licensure is reciprocal with the requesting
NOTE: An FEIN may only be used for a business license type, not for an individual
Section 31 of
the Business and Professions Code allows the State Board of Equalization and
the Franchise Tax Board to share
taxpayer information with the Board. If a state tax obligation is not paid, an
application for licensure may be denied
and a license issued by the Board may be suspended
Professions Code section 494.5).
Reporting a number on your application that is not your SSN, ITIN, or FEIN
may be grounds for denial.
For more specific information related to licensed midwives, please call (916) 263-2382,
email Webmaster@mbc.ca.gov, or write to:
Medical Board of California
Attn: Midwifery Program
2005 Evergreen Street, Suite 1200
Sacramento, CA 95815
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General Questions About Licensure
Does California issue a student or training license?
No. California only issues a full, unrestricted license which allows a person to
practice midwifery in California.
What are the costs related to licensure?
There are two fees involved in the licensing process:
When your license is due for renewal, the Licensing Renewal Fee will be $200 (plus
any delinquency fees, if you did not renew on time).
- Licensing Application fee – This fee is $300 and must be submitted when you apply
for licensure. The fee, which is non-refundable, also covers the initial period
of licensure. The application fee is payable to Medical Board of California and
can be submitted by money order, cashiers’ or personal check.
- Fingerprint Processing Fee – This fee is $49 and is non-refundable. If you use Live
Scan for your fingerprints, the $49 fee is paid to Live Scan and is collected at
the time of fingerprinting. If you live outside of California and submit paper fingerprint
cards, the $49 fee is payable to the Medical Board. In addition, whether you use
Live Scan or paper fingerprint cards, you will be charged an administrative fee,
which may vary, by the local agency that scans the prints or provides the ink impressions.
How long is my license valid?
Upon approval of your application file and payment of the license application fee,
your license will be issued and will be valid for two years.
What if I move or change my name after I have submitted my application?
If you move after you have submitted your application, you must submit an
Applicant Address Change Request Form. This form may be faxed or mailed
to the Board.
If you change your name after you have submitted an application, you must submit
a signed Notification of Name Change form,
along with photocopy or electronic copy of a current government-issued photographic
identification (e.g., driver license, alien registration, passport, etc.) and one
of the following legal documents as proof of the name change:
The form and supporting documents must be mailed to the Board.
- Marriage Certificate
- Dissolution of marriage (divorce)
- Certified Court Order
Can I submit a 2 x 2 inch passport photo?
Yes. The photo must meet the instruction specifications. It must be recent and of
your head and shoulder area only.
Will you discard or destroy any documentation received prior to my application?
Any documents received prior to your application will be maintained for six months.
If you do not submit your application and fees in that time frame, the documents
will be destroyed through confidential destruction.
How can I find out if the Board has received or reviewed my documents?
Most documents are reviewed within 2 weeks from the date they are received. Please
allow at least 2 weeks from the date you submitted a document before contacting
the Board to verify if it has been received or reviewed.
How will I know if there are missing documents or other issues with my application?
You will be notified if there are any missing documents or issues with your application
after it is reviewed. You will receive a deficiency letter from the Board.
How long do I have to complete the application process?
You have one year from the date the application was received by the Board to complete
your application. Applications incomplete after 1 year are considered “abandoned”
and may be destroyed (including all supporting documentation). If you wish to keep
your application open, you must resubmit the California Midwife License Application
Form prior to the date of the previous application’s expiration date.
If your previous application was abandoned, any subsequent application will be treated
as a new application and you will be required to meet all licensure requirements
in effect at the time of the subsequent application. You must also resubmit all
How long will it take for me to receive my license once it is issued?
Please allow 2-4 weeks from the date of issuance to receive your pocket identification
card and wall certificate.
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Questions Regarding the NARM Examination
How do I register to take the NARM exam?
Taking and passing the NARM exam is a requirement for licensure. Although the exam
is administered two times each year at the Medical Board’s offices in Sacramento
(typically in February and August), you may take the exam at any US location. Registration
for the exam is done directly through NARM.
Can I send my exam scores to the Board?
No. You must contact NARM and ask that your written exam scores be sent directly
to the Board by NARM.
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Questions Regarding Fingerprints
Do I have to get fingerprinted?
Yes. In California, the process is completed using Live Scan, which is an electronic
fingerprinting process. Your prints will be sent to both the California Department
of Justice (DOJ) and the Federal Bureau of Investigation (FBI) to search for any
criminal history. Out-of-state applicants may submit the traditional paper fingerprint
cards approved to be used in California or come to California to use Live Scan.
I don’t live in California; how can I get paper fingerprint cards?
If you live out of state, once you have submitted your application and fees, the
Board will automatically send fingerprint cards to you. If you have already submitted
your fees and application but have not yet received the fingerprint cards, you may
contact the Board’s Consumer Information Unit at 1-800-633-2322 to request that
they be mailed to you. You may have your fingerprints taken by a local law enforcement
agency or any other business approved for fingerprinting.
I already have been fingerprinted previously; can the Medical Board access those
No. Federal law allows a Criminal Records Report to be released only to the requesting
agency. You will need to undergo the fingerprinting and criminal history check process
again specifically for the Medical Board.
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Questions About Criminal Convictions
Must I disclose all criminal convictions, even minor offenses in college?
You must disclose all convictions as well as all cases in which you pled guilty
or nolo contendere, even if they have been expunged pursuant to Section 1203.4 of
the Penal Code. This includes every citation, infraction, misdemeanor and/or
felony, including traffic violations. Convictions that were adjudicated
in the juvenile court or convictions under California Health and Safety Code Sections
11357(b), (c), (d), (e), or Section 11360(b) which are two years or older should
NOT be reported. Convictions that were later expunged from the record of the court
or set aside pursuant to section 1203.4 of the California Penal Code or equivalent
non-California law MUST be disclosed.
What happens if I fail to disclose information on a criminal conviction?
As an applicant, you personally are responsible for all information disclosed on
your Application, including any responses that may have been completed on your behalf
by others. An application may be denied based upon omission, falsification or misrepresentation
of any item or response on the application or any attachment. The Board considers
violations of an ethical nature to be a serious breach of professional conduct.
I was arrested but not convicted of a crime. How should I respond to the Criminal
You are not required to disclose an arrest which did not result in a conviction.
Do I need to report traffic citations?
Traffic citations such as reckless driving, driving under the influence
of alcohol/drugs, hit and run, evading a police officer, failure to appear, driving
while the license is suspended or revoked MUST be reported. This list is not all-inclusive
or exhaustive. If in doubt as to whether a citation should be disclosed, it is
better to disclose the citation on the application.
How might a criminal conviction affect my application for licensure?
The Board is unable to provide legal advice to applicants or their representatives.
Every situation is unique and is addressed on an individual basis. The Board reviews
each conviction based not only on the conviction itself in relation to the statutes,
but also on the underlying issues that led to the conviction.
The Board does receive information regarding actions that have been expunged, and
the application forms advise applicants to disclose all prior convictions, including
those that have been expunged. In addition, pending charges must be reported by
an applicant immediately upon notification of the charge. The Board will learn of
these actions through the fingerprint criminal history check.
A conviction that does not, at first glance, appear to be substantially related
to the qualifications, functions or duties of a midwife, may, under closer scrutiny,
be revealed otherwise (e.g.; reckless driving, DUIs, etc.). All information related
to an applicant's criminal history is considered. The specific conviction; when
it occurred; the circumstances surrounding the conviction; the number of convictions;
compliance with the court's terms and conditions; and rehabilitation are all factors
considered when determining an applicant's eligibility for licensure. Failure to
disclose a conviction is considered to be dishonest, and therefore an egregious
breach of ethics and is unprofessional conduct. The failure to disclose a conviction
is grounds for the Board to deny an application for licensure.
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Questions Regarding Recognized Midwifery Schools
How do I find out if my midwifery school is approved by the Board?
You may select the link below to determine whether your school is on the Board’s
recognized midwifery school list.
Can I provide a certified or notarized copy of my transcripts or diploma?
No. You must request certified copies of these documents be sent directly from your
midwifery school to the Medical Board of California.
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Questions Regarding the California Challenge Mechanism
I didn’t attend a formal midwifery education program, but received my training and
experience via apprenticeship with a licensed midwife. Can I still qualify for licensure?
Midwifery students may obtain credit by examination for previous midwifery
education and clinical experience through the challenge mechanism program. There are
currently two challenge mechanism programs approved by the Board: Maternidad
La Luz (MLL), in El Paso, TX, and National Midwifery Institute, in Bristol, VT. Individuals
who pursue licensure via the challenge mechanism program must also pass the NARM examination.
NARM has a “Portfolio Evaluation Process” for experienced midwives which is part of the application
process for the NARM examination. For more information, contact NARM.
I received my midwifery training and experience in another country. How can I qualify
for a midwife’s license?
California law does not include a provision for recognizing international midwifery
education and training. However, internationally trained and educated midwives can
qualify for licensure via the California's challenge mechanism. As with all applicants
applying via the challenge mechanism, they must also pass the NARM exam. NARM has
a “Portfolio Evaluation Process” for international midwives which is part of the
application process for the NARM examination. For more information, contact
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