Hawaii Medical Board Application Forms
ONE YEAR (1) ABANDONMENT OF APPLICATIONSPursuant to HRS §436B-9 Your application shall be considered abandoned, will be destroyed, if you fail to complete the license process within one year after filing the application, or fail to take and pass the examination after becoming eligible to take the examination. If an application is deemed abandoned the applicant shall be required to reapply for licensure and comply with the licensing requirements at the time of the reapplication. |
PHYSICIAN
Physician License (by Endorsement)
- Requirements and License Application Form
Do not proceed with this application if you have been subject to disciplinary action by a medical licensing authority, do not hold a permanent license in another jurisdiction, or do not have 2 years of active clinical practice in the preceding 5 years from the submission of your application.
Physician License (by Non-Endorsement)
Physician License - Temporary Military Spouse License
- Requirements and License Application Form
(Temporary license to practice for the duration of the active-duty military member's service in Hawaii, not to exceed a five-year period.
OSTEOPATHIC PHYSICIAN & SURGEON
Osteopathic Physician and Surgeon License (by Endorsement)
- Requirements and License Application Form
Do not proceed with this application if you have been subject to disciplinary action by a medical licensing authority, do not hold a permanent license in another jurisdiction, or do not have 2 years of active clinical practice in the preceding 5 years from the submission of your application.
Osteopathic Physician and Surgeon License (by Non-Endorsement)
Osteopathic Physician and Surgeon License - Temporary Military Spouse License
- Requirements and License Application Form
(Temporary license to practice for the duration of the active-duty military member's service in Hawaii, not to exceed a five-year period.
PHYSICIAN-LIMITED & TEMPORARY LICENSES
Residency/Specialty Training - MDR/DOSR (Limited and Temporary) License
Physician - Educational/Teaching - MDT (Limited and Temporary) License
Physician - MDA/MDS/MDE (Limited and Temporary) License
PHYSICIAN ASSISTANT
Physician Assistant License
Physician Assistant License - Temporary Military Spouse License
- Requirements and License Application Form
(Temporary license to practice for the duration of the active-duty military member's service in Hawaii, not to exceed a five-year period.
PODIATRIST
Podiatrist License
Podiatrist License - Temporary Military Spouse License
- Requirements and License Application Form
(Temporary license to practice for the duration of the active-duty military member's service in Hawaii, not to exceed a five-year period.
EMERGENCY MEDICAL PERSONNEL