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Physician Assistant Application Packet
The Oregon Medical Board is providing prospective applicants for physician assistant licensure in Oregon the ability to Download all forms needed for licensure. You may complete the forms on your computer, however, do not submit the application form or any accompanying forms to the Board via e-mail. We hope that the availability of the instructions and forms on the Board’s web site will expedite the licensure process for you, and save you and board staff time by providing you with immediate access to the forms you need to submit an application.
 
The Board looks forward to receiving your application and helping you through the licensure process.  Please provide time for staff to process your application and send you a letter detailing items needed before telephoning the Board to inquire about your application.
 

 
Please take a moment to complete the Comment Form regarding your experiences in downloading and completing the PA application packet on-line. Your comments will enable us to more effectively provide you and other applicants with a better application process.
 



 
The forms provided on this web site are in Portable Document Format (PDF) (EXCEPT AS NOTED). To view them, you must have Adobe Acrobat or a compatible reader on your computer. This Acrobat Reader is distributed free by Adobe for most types of computers.
 
Note: You must have version 5.0 or higher of the Acrobat Reader program to fill-in the forms online. Version 4.0 may cause errors when viewing or filling-in some pages. The free Acrobat Reader does NOT let you save fill-in data. Users that frequently use on-line Adobe forms may wish to consider buying the full product.
 
To fill out a form:

  1. You must have Adobe 5.0 or higher. For more information on this, see above.
  2. Click on the form you want to use. This will open it in Adobe.
  3. Select the hand tool .Image of what the hand tool icon looks like.
  4. Position the pointer inside a form field, and click.The I-beam pointer allows you to type text. The arrow pointer allows you to select a button, a check box, a radio button, or an item from a list.
  5. After entering text or selecting an item, check box, or radio button, do one of the following:
    • Press Tab to accept the form field change and go to the next form field.
    • Press Shift+Tab to accept the form field change and go to the previous form field.
    • Press Enter (Windows) or Return (Mac OS) to accept the form field change and deselect the current form field.
  6. When you have finished filling out the form, print the document and mail or fax it to the OMB with any required payment. Don't forget to sign and date the form if applicable.
  7. The Oregon Medical Board's fax number is:
    (971) 673-2670
  8. The OMB's mailing address is:
    Oregon Medical Board 
    Physician Assistant Licensing Program
    1500 SW First Ave. Suite 620
    Portland, OR 97201-5847

 
Page updated: April 02, 2008

Get Adobe Acrobat ReaderAdobe Reader is required to view PDF files. Click the "Get Adobe Reader" image to get a free download of the reader from Adobe.