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Indiana Professional Licensing Agency

PLA > Professions > Medical Licensing Board of Indiana > Applications for Licensure > Uniform Application for Physicians Uniform Application for Physicians

Indiana is now utilizing the Uniform Application for Physician State Licensure (UA).  The UA, is part of the Federation of State Medical Board’s license portability grant project.  There are 17 other states that are in the implementation process.

The UA is a standard licensure application form that can serve as the core of a state’s license application without replacing unique state-level requirements.  The form facilitates online completion of an initial licensure application and is available to all state medical boards.  By utilizing the UA, physicians can save the application for later use in another state.  For physicians who use Federation of State Medical Board's Credentials Verification Service (FCVS), approximately 70% of the form can be auto-populated with data.

The UA as well as the FCVS process are designed to make the licensing process more portable among states, convenient and less redundant.  Verifying credentials with the primary source is a difficult and time consuming part of the licensure process, but once obtained through FCVS, credentials are permanent, protected and portable.  Physicians are better prepared to become mobile among states, therefore responding to disasters and emergencies and aiding in recovery efforts without unnecessary delays.

The Uniform Application for Physician State Licensure and the instructions on how to apply for licensure in Indiana may be found at https://s1.fsmb.org/CSLA/SelectBoard.aspx

For your convenience, a flowchart has been designed to show you how the UA works and what additional documentatation will need to be submitted.  That can be found here.

PLEASE NOTE THAT THE FEDERATION OF STATE MEDICAL BOARDS CHARGES A $50.00 FEE TO USE THE UA PROCESS.  YOU WILL ALSO BE REQUIRED TO PAY THE $250 LICENSURE APPLICATION FEE TO THE INDIANA MEDICAL LICENSING BOARD. 

You are NOT required to use the Uniform Application.  If you would rather use the application designed specifically for Indiana, please click here