Application & Instructions for Initial Licensure - Visiting Physician Permit

 

CLICK HERE TO BEGIN THE ONLINE APPLICATION PROCESS

     Click HERE to complete a previously started (and saved) online initial application.
     Click HERE to check the status of your completed online initial application.

To access a paper application, click HERE (available for a limited time)

 

The items listed below MUST be completed and mailed to the LSBME as part of the initial application process.

 

The board may issue a visiting physician temporary permit to an applicant physician who is invited by one or more physicians licensed in Louisiana to participate or consult in the diagnosis or treatment of a patient under their care  

 

Qualifications for permit

  1. Be at least 21 years of age and of good moral character
  2. Be a citizen of the United States or possess valid and current legal authority to reside and work in the United States duly issued by the commissioner of the Immigration and Naturalization Service
  3. Possess a doctor of medicine or doctor of osteopathic medicine degree duly issued by a medical school approved by the board. 
  4. Hold an unrestricted license to practice medicine issued by another state or country if not licensed and domiciled in the United States

 

Application – submitted as a single set of documents as follows

  1. A letter of recommendations from the physician (s) responsible for the care of the patient (s) who will be treated
    1. attesting to the professional qualifications of the visiting physician
    2. assuming responsibility for his or her professional activities and for the patient care that will  be provided
    3. specifying when and where the treatment will take place
  2. A copy of the applicant’s medical license issued by another state 
  3. Oath or Affirmation relating to professional background
  4. Third party authorization for release of information 
  5. Pay fee of $100.00. Credit/Debit card only.

 

 

Other Information

Verification of Application/Licensure Status - Visit our website at www.lsbme.la.gov and log on to your account to verify the progress/status of your application.

 

Communication with the Board

Mailing Address -LSBME, 630 Camp Street, New Orleans, LA 70130

Questions - Contact Sandra Broussard at (504) 568-7688 or sbroussard@lsbme.la.gov.