Forms
Publications
Brochures
Brochures List
A Patient's Guide to Blood Transfusion
Be an informed Patient Check up on Your Doctor's License
Breast Cancer Treatment
A Consumer's Guide to the Complaint Process
Expert Reviewer Program
Don't Wait, File a Complaint!
Gynecologic Cancers...What Women Need to Know
Questions and Answers About Investigations
Most Asked Questions about Medical Consultants
Prostate Cancer Patient Guide
Silicone Implants
Medical Resources
Statistics
License Verification System (LVS)
BreEZe Resources Center
Need Help?
Contact the Board's Consumer Information Unit for assistance.
1 (800) 633-2322
Send a MessageForms
Below are all forms used by the Medical Board of California. If you need assistance filling them out, contact our Consumer Information Unit at (916) 263-2382.
Tips for Viewing and Using Fillable PDFs
Applicants
In an effort to move to a paperless application process, the Board removed Application for a Postgraduate Training License (Forms PTL1-PTL4) and Application to Transition from a Postgraduate Training License to a Physician’s and Surgeon’s License (Form TF1-TF3).
Effective February 1, 2023, the Board will no longer accept, and process, the following paper applications, as they must be submitted online through BreEZe Online Services:
- Application for a Postgraduate Training License (Forms PTL1-PTL4)
- Application to Transition from a Postgraduate Training License to a Physician’s and Surgeon’s License (Form TF1-TF3)
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Physicians and Surgeons
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Postgraduate Training License (PTL) Application Forms
- Application for a Postgraduate Training License Information & Checklist
- Request for Live Scan Service Form for Electronic Fingerprints
- Explanation for Application Question (Form EXP)
- Timeline of Activities (Form TOA)
- Certificate of Medical Education (Form MED)
- Certificate of Completion of ACGME/RCPSC/CFPC Postgraduate Training (Form PTA-PTB)
- Research During Training Questionnaire (Form RES1-RES2)
- Postgraduate Training License Enrollment Form (Form EF)
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Physician's and Surgeon's License Application Forms
- Application for a Physician's and Surgeon's License Information & Checklist
- Application for a Physician's and Surgeon's License (Forms L1A-L1E)
- Request for Live Scan Service Form for Electronic Fingerprints
- Explanation for Application Question (Form EXP)
- Timeline of Activities (Form TOA)
- Certificate of Medical Education (Form MED)
- Certificate of Completion of ACGME/RCPSC/CFPC Postgraduate Training (Form PTA-PTB)
- Certificate of Completion of CODA Postgraduate Training (Form CODA1-CODA2)
- Research During Training Questionnaire (Form RES1-RES2)
- Current Postgraduate Training Verification (Form CTV)
- Limited Practice License (Form LPL), if applying for Limited Practice status
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Transition from a Postgraduate Training License (PTL) to a Physician’s and Surgeon’s License Application Forms (PTL Holders Only)
- Application to Transition from a Postgraduate Training License to a Physician’s and Surgeon’s License Information & Checklist
- Explanation for Application Question (Form EXP)
- Certificate of Medical Education (Form MED)
- Certificate of Completion of ACGME/RCPSC/CFPC Postgraduate Training (Form PTA-PTB)
- Research During Training Questionnaire (Form RES1-RES2)
- Current Postgraduate Training Verification (Form CTV)
- Limited Practice License (Form LPL), if applying for Limited Practice status
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Other Forms and Information
- Program Status Update/Change (Form PSU1-PSU2)
- Translation of International Academic Credentials
- Notification of Name Change
- Applicant Address Change Request
- Fictitious Name Permit Application and Checklist
- Direct Online Certification Submission (DOCS) Flyer and Form, for use by medical school or program officials only
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Physician’s and Surgeon’s Initial License Renewal Forms
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Midwives
- Application for Midwifery License
- Live Scan Service Form for Electronic Fingerprints, for Midwives applicants only
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Polysomnography
- Application for Polysomnography Registration
- Live Scan Service Form for Electronic Fingerprints, for Polysomnography applicants only
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Research / Student Research Psychoanalysts
- Application for Research/Student Research Psychoanalyst
- Live Scan Service Form for Electronic Fingerprints, for Research/Student Research Psychoanalysts applicants only