Online Form 1 - Application for Licensure
All applicants for licensure must initially submit Form 1 along with the $115 licensure and first registration fee. You must answer all questions and provide all information requested unless otherwise indicated. Failure to accurately complete all required parts of the application will delay its review. Additional forms below are required based on the licensure requirements of the profession.
Continuing Your Application
If you have started an application within the past 30 days, and have not yet completed it, you can use this link to continue your application. You will need your Application ID, Social Security Number, and Date of Birth.
Upload Additional Documentation
If you have already completed an application, but you have additional documents or files to include in your previous submission, use this link to upload additional documentation. You will need your Application ID and Date of Birth.
Form 2 - Certification of Professional Education
This form must be submitted directly by the professional school you attended.
- Section I: Complete this section of the form. Be sure to sign and date item 8 before sending it to your professional school.
- Section II: Request the professional school to complete this section and attach an official transcript and send it directly to the Office of the Professions at the address at the end of the form. Be sure to include any fee required by the school.
Form 3 - Verification of Licensure/Certification in Another Jurisdiction
Use this form only if you are or have been licensed/certified in another jurisdiction
This form must be submitted directly by the licensing authority.
- Section I: Complete this section of the form before sending it to the licensing authority of each jurisdiction in which you are or have been licensed/certified. Be sure to include any fee required by the licensing authority and sign and date item 7.
- Section II: The licensing authority must complete this section, sign, date and return the form directly to the Office of the Professions at the address at the end of the form.
Note: A Form 3 is not required for licenses/certificates issued by the New York State Education Department. Also, If the certification/verification documentation provided by U.S. jurisdiction contains the same information requested in the Form 3, completion of a Form 3 for that jurisdiction is not necessary. For certification/verification documentation that does not contain the same information, a Form 3 will need to be completed for that jurisdiction.
Online Form 5 - Application for Limited Permit for Physician Assistant
All applicants for a limited permit must initially submit Form 5 along with the $105 limited permit fee. You must also submit a Form 5CS - Certification of Supervisor for Limited Permit along with your application.
Continuing Your Application If you have started an application within the past 30 days, and have not yet completed it, you can use this link to continue your application. You will need your Application ID and Date of Birth.
Upload Additional Documentation
If you have already completed an application, but you have additional documents or files to include in your previous submission, use this link to upload additional documentation. You will need your Application ID and Date of Birth.
Changes to Supervisors and/or Settings
If you change supervisors and/or settings, or you have to add or remove a supervisor or setting, after a permit is issued, you must obtain an amended permit using the Limited Permit Change Form. After changes are processed you will receive an amended permit. A fee is not required for an amended permit issued as a result of a change in supervisor or setting. You must also submit a Form 5CS - Certification of Supervisor for Limited Permit for each new supervisor you are adding (see Upload Additional Documentation above).
Form 5CS - Certification of Supervisor for Limited Permit
This form is not for all applicants. Use this form ONLY if you are applying/have applied for a New York State Limited Permit as a Physician Assistant online.
- Section I: Complete this section.
- Section II: Your supervisor must complete this section before you can submit it to the Office of the Professions at the appropriate address at the end of the form. It is your responsibility to ensure your supervisor fully completes Section II. Failure to complete this form will delay its review.
Last Updated: March 26, 2020