PDF Application Forms on OP's Website
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Non-Profession Specific Application Forms
Important Notice: contact us to request a Delayed Registration Application, or by calling 518-474-3817 Ext. 570.
A New York State professional license is valid for life unless it is revoked, annulled, or suspended by the Board of Regents. To practice in New York State your professional license must be registered. If your registration has lapsed and you need to reregister, do not submit a Form 1. Instead, Note: For fillable PDF forms, Internet Explorer is the recommended browser.
Acupuncture
- Acupuncture Form 1 - Application for Licensure (
44 KB)
- Acupuncture Form 5 - Application for Limited Permit
(
23 KB)
Applied Behavior Analysis
- Applied Behavior Analysis Form 1 - Application for Licensure/Certification
(
23 KB)
- Applied Behavior Analysis Form 5 - Application for Limited Permit
(
23 KB)
Architecture
Athletic Training
Audiology
Certified Shorthand Reporting
Chiropractic
Clinical Laboratory Technology
- Clinical
Laboratory Technologist & Clinical Laboratory
Technician
- Clinical Laboratory Technologist/Technician Form
1 - Application for Licensure
(
26 KB)
- Clinical Laboratory Technologist/Technician Form
5 - Application for Limited Permit
(
19 KB)
- Clinical Laboratory Technologist/Technician Form
1 - Application for Licensure
(
- Cytotechnologist
- Cytotechnologist Form 1 - Application for Licensure
(
27 KB)
- Cytotechnologist Form 5 - Application for Limited
Permit
(
19 KB)
- Cytotechnologist Form 1 - Application for Licensure
(
- Clinical Laboratory Technology Exemption Permit for Perfusion
- Clinical Laboratory Technologist/Certified Histological Technician Provisional Permit
Dental Professions
- Registered
Dental Assistant
- Registered Dental Assisting Form 1 - Application for
Licensure
(
23 KB)
- Registered Dental Assisting Form 5 - Application for
Limited Permit
(
18 KB)
- Registered Dental Assisting Form 1 - Application for
Licensure
(
- Dental
Hygienist
- Dental Hygiene Form 1 - Application for Licensure (
41 KB)
- Dental Hygiene Form 5 - Application for Limited Permit (
17 KB)
- Dental Hygiene Restricted Local Infiltration Anesthesia/Nitrous
Oxide Analgesia Certification Form 1 - Application for Certification & First Registration
(
27 KB)
- Dental Hygiene Form 1 - Application for Licensure (
- Dentist
- Submit Online Form 1
- Dentist Form 1 - Application for Licensure
(
25 KB)
- Dentist Form 5 - Application for a Limited Permit (
30 KB)
- Dentist Form 1AC-R - Application for Certification to Use Acupuncture
(
18 KB)
- Dental Anesthesia Certification (for licensed dentists only)
- Restricted Dental Faculty
Dietetics and Nutrition
Engineering
- Engineering Form 1 - Application for Licensure (
42 KB)
- Engineering Form 5 - Notification of Intent to Practice
Professional Engineering Under Section 7208(b) of the Education
Law
(
15 KB)
Geology
Interior Design
Landscape Architecture
- Landscape Architecture Form 1 - Application for Licensure
(
57 KB)
- Landscape Architecture Form 5 - Application for Limited Permit for Non-Resident Landscape Architect (
54 KB)
Land Surveying
Massage Therapy
- Submit Online Form 1
- Massage Therapy Form 1 - Application for Licensure (
41 KB)
- Massage Therapy Form 5 - Application for Limited Permit
(
27 KB)
Medical Physics
- Medical Physics Form 1 - Application for Licensure (
37 KB)
- Medical Physics Form 5 - Application for Limited Permit
(
45 KB)
Medicine
- Physician
- Medicine Form 1 - Application for Licensure (
55 KB)
- Medicine Form 5A - Application for Limited Permit
in Medicine for Applicants Seeking Licensure in New
York State
(
28 KB)
- Medicine Form 5B - Application for Limited Permit in Medicine for Applicants Who Have Not Applied for Licensure in New York State
(
44 KB)
- Medicine Form 1AC-R - Application for Certification to Use Acupuncture
(
18 KB)
- Medicine Form 1 - Application for Licensure (
- Physician
Assistant
- Physician Assistant Form 1 - Application for Licensure
(
42 KB)
- Physician Assistant Form 5 - Application for Limited
Permit
(
26 KB)
- Physician Assistant Form 1 - Application for Licensure
(
- Specialist Assistant
Mental Health Practitioners
- Creative
Arts Therapy
- Creative Arts Therapy Form 1 - Application for Licensure
(
52 KB)
- Creative Arts Therapy Form 5 - Application for Limited
Permit
(
31 KB)
- Creative Arts Therapy Form 1 - Application for Licensure
(
- Marriage
and Family Therapy
- Marriage and Family Therapy Form 1 - Application
for Licensure
(
49 KB)
- Marriage and Family Therapy Form 5 - Application
for Limited Permit
(
32 KB)
- Marriage and Family Therapy Form 1 - Application
for Licensure
(
- Mental
Health Counseling
- Mental Health Counseling Form 1 - Application for
Licensure
(
52 KB)
- Mental Health Counseling Form 5 - Application for
Limited Permit
(
31 KB)
- Mental Health Counseling Form 1 - Application for
Licensure
(
- Psychoanalysis
- Psychoanalysis Form 1 - Application for Licensure
(
52 KB)
- Psychoanalysis Form 5 - Application for Limited Permit
(
32 KB)
- Psychoanalysis Form 1 - Application for Licensure
(
Midwifery
- Midwifery Form 1 - Application for Licensure
(
40 KB)
- Midwifery Form 5 - Application for Limited Permit
(
25 KB)
Nursing
- Registered
Professional Nurse and Licensed Practical Nurse
- Nursing Form 1 - Application for Licensure
(
51 KB)
- Nursing Form 5 - Application for Limited Permit
(
37 KB)
- Nursing Form 1 - Application for Licensure
(
- Nurse
Practitioner
- Clinical Nurse Specialist
Occupational Therapy
- Occupational Therapy Form 1 - Application for Licensure
(
45 KB)
- Occupational Therapy Form 5 - Application for a Limited
Permit
(
29 KB)
Ophthalmic Dispensing
- Ophthalmic Dispensing Form 1 - Application for Licensure
(
42 KB)
- Ophthalmic Dispensing Form 5 - Application for Limited
Permit
(
31 KB)
- Ophthalmic Dispensing Form 5T - Application for Trainee
Permit
(
51 KB)
Optometry
Pathologists' Assistant
- Submit Online Form 1
- Pathologists' Assistant Form 1 - Application for Licensure
(
658 KB)
- Pathologists' Assistant Form 5 - Application for Limited Permit
(
569 KB)
Perfusion
- Perfusionist Form 1 - Application for Licensure
(
23 KB)
- Perfusionist Form 5 - Application for Limited Permit
(
16 KB)
Pharmacy
- Pharmacist
- Pharmacist Form 1 - Application for Licensure (
39 KB)
- Pharmacist Form 5 - Application for a Limited (Intern)
Permit
(
32 KB)
- Pharmacist Immunization - Application for Certification
(
17 KB)
- Pharmacist Form 1 - Application for Licensure (
- Registered Pharmacy Technician
- Registered Pharmacy Technician Form 1 - Application for Licensure (
41 KB)
- Registered Pharmacy Technician Form 3 - Verification of Other Professional Licensure/Certification
(
32 KB)
- Registered Pharmacy Technician Form 1 - Application for Licensure (
- Pharmacy Establishment
Physical Therapy
- Physical Therapy Form 1 - Application for Licensure (
40 KB)
- Physical Therapy Form 5 - Application for Limited Permit
(
28 KB)
Podiatry
- Podiatry Form 1 - Application for Licensure (
46 KB)
- Podiatry Form 5A - Application for a Limited Permit for
Applicants Who Have Applied for Licensure in New York
(
41 KB)
- Podiatry Form 5B - Application for a Limited Permit for
Applicants Who Have Not Applied for Licensure in New York
(
146 KB)
- Podiatry Form 5C - Application for a Limited Residency
Permit for Applicants Who Are Applying for Licensure in New York
(
47 KB)
- Podiatry Form 5D - Application for a Limited Residency
Permit for Applicants Who Are Not Applying for Licensure in New York
(
147 KB)
Polysomnographic Technology
- Polysomnographic Form 1 - Application for Authorization
(
25 KB)
- Polysomnographic Form 5 - Application for Limited Permit
(
14 KB)
Psychology
- Psychology Form 1 - Application for Licensure (
40 KB)
- Psychology Form 5A - Application for Limited Permit For
Persons Gaining Experience For Licensure
(
21 KB)
- Psychology Form 5B - Application for Limited Permit For
Persons Licensed In Other Jurisdictions
(
19 KB)
Public Accountancy
- CPA Form 1 - Application for Licensure
(
41 KB)
- CPA Form 6R - Application for Public Accountancy Firm (
96 KB)
Respiratory Therapy
- Respiratory Therapy Form 1 - Application for Licensure (
42 KB)
- Respiratory Therapy Form 5 - Application for Limited
Permit
(
23 KB)
Social Work
Licensed Master Social Worker
- Licensed Master Social Worker Form 1 - Application for
Licensure
(
24 KB)
- Licensed Master Social Worker Form 5 - Application for
a Limited Permit
(
18 KB)
Licensed Clinical Social Worker
- Licensed Clinical Social Worker Form 1 - Application
for Licensure
(
26 KB)
- Licensed Clinical Social Worker Form 5 - Application
for Limited Permit
(
20 KB)
Psychotherapy Privilege
Speech-Language Pathology and Audiology
- Speech-Language Pathology Form 1 - Application
for Licensure
(
44 KB)
- Speech-Language Pathology Form 1LL - Application for Limited License as a Speech-Language Pathologist
(
44 KB)
Veterinary Medicine
- Veterinarian
- Veterinary Medicine Form 1 - Application for Licensure (
43 KB)
- Veterinary Medicine Form 5 - Application for Limited
Permit
(
26 KB)
- Veterinary Medicine Form 1 - Application for Licensure (
- Veterinary Technician
Last Updated:
March 30, 2022