Form preview

Get the free Application for a Temporary License for Intern/Resident Training Program - medschool...

Get Form
This document provides requirements and instructions for applying for an intern/resident training license for postgraduate clinical training in Virginia. It outlines the application process, required
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign application for a temporary

Edit
Edit your application for a temporary form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your application for a temporary form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing application for a temporary online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Follow the guidelines below to benefit from the PDF editor's expertise:
1
Sign into your account. It's time to start your free trial.
2
Simply add a document. Select Add New from your Dashboard and import a file into the system by uploading it from your device or importing it via the cloud, online, or internal mail. Then click Begin editing.
3
Edit application for a temporary. Replace text, adding objects, rearranging pages, and more. Then select the Documents tab to combine, divide, lock or unlock the file.
4
Get your file. When you find your file in the docs list, click on its name and choose how you want to save it. To get the PDF, you can save it, send an email with it, or move it to the cloud.
pdfFiller makes working with documents easier than you could ever imagine. Register for an account and see for yourself!

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out application for a temporary

Illustration

How to fill out Application for a Temporary License for Intern/Resident Training Program

01
Obtain the Application for a Temporary License from the appropriate regulatory authority's website or office.
02
Fill in your personal details, including your full name, address, contact number, and email.
03
Provide information about the medical school you attended, including its name, address, and graduation date.
04
Include details about the residency or internship program, such as the institution's name and the training program start date.
05
Attach any required documents, such as proof of education, identification, and a passport-sized photo.
06
Sign and date the application form.
07
Pay any applicable fees as indicated by the regulatory authority.
08
Submit the completed application and supporting documents to the designated office either in person or via mail.

Who needs Application for a Temporary License for Intern/Resident Training Program?

01
Medical graduates who have completed their education and are seeking to participate in an internship or residency training program.
02
Individuals intending to practice medicine temporarily under supervision in a residency or internship role.
03
Students from international medical schools needing a temporary license to complete their training in a specific jurisdiction.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.0
Satisfied
60 Votes

People Also Ask about

United States Medical Licensing Examination (USMLE) It consists of three steps, each with its own set of fees. Step 1 and Step 2 CK Fees: Step 1 and Step 2 Clinical Knowledge (CK) each cost around $670. These exams assess your basic medical knowledge and clinical skills. Step 3 Fees: The final exam, Step 3, costs $895.
Unrestricted License. The Federation of State Medical Boards (FSMB) says a physician who completes their required training – medical school followed by a residency in their specialty – receives an unrestricted license. This is simply a regular medical license, with no particular restrictions other than general ones.
An unrestricted medical license is a license to practice medicine that has been issued by an appropriate and authorized licensing board and contains no restrictions, conditions, or contingencies on the physician's privilege to practice professionally and does not have any added requirements to remain full and active.
In conclusion, healthcare professionals who want to practice medicine uninterruptedly need to get various types of medical licenses. Permanent, temporary, locum tenens, institutional practice limited, faculty, residency training, and fellowship training licenses are some of these.
College of Medicine Tuition and Fees Credit HoursInstructional FeeOhio Resident Total 6 $4,392 $4,536 7 $5,124 $5,292 8 $5,856 $6,048 9 and above $19,860 $20,4995 more rows
The only thing standing in between you and your future as an Ohio physician is the application process. If everything goes well, you should get licensed with the Ohio Medical Board within about 60 days of applying. But every misstep and delayed document submission will add days or weeks to the application process.
If the police or a licensing board charge you with the unauthorized or unlicensed practice of medicine, you may face both professional and criminal charges. The specific discipline that you will face will be determined by your licensing board. A prosecutor may also charge you with a criminal offense.
Ohio State Continuing Medical Education (CME) Requirement. Credit Amount: Ohio requires 50 hours of CME credits per licensure cycle. For first time renewal, a licensee's required hours will be prorated based on the number of months for which the individual has been licensed.
What Does it Cost? namecost name OHIO MEDICAL BOARD cost $308.50 name OKLAHOMA STATE BOARD OF MEDICAL LICENSURE & SUPERVISION cost $500.00 name OKLAHOMA STATE BOARD OF OSTEOPATHIC EXAMINERS cost $600.00 name PENNSYLVANIA STATE BOARD OF MEDICINE cost $35.0050 more rows

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

The Application for a Temporary License for Intern/Resident Training Program is a formal request submitted by medical interns or residents to obtain a temporary license to practice medicine in a supervised training program.
Individuals who are enrolled in a medical intern or resident training program and wish to practice under supervision must file the Application for a Temporary License.
To fill out the application, you must provide personal identification details, educational background, and specific information about the training program, including the supervising physician's information.
The purpose of the application is to ensure that interns and residents have the necessary authorization to gain practical experience while being supervised by licensed physicians.
The application must report personal details (name, contact information), educational history, details of the residency program (institution, length of training), and the supervising physician's credentials.
Fill out your application for a temporary online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.