P.A. Application

You may access the online application for license as a Physician Assistant by using the Continue button at the bottom of the page.

With the application, you will also need to:

• Mail or upload a copy of your original National Certification certificate from NCCPA, as well as a copy of your current renewal certification. Current NCCPA Certification is not required if you are currently licensed in good standing in a state that does not require that certification be maintained.
• Arrange for an Official Transcript to be sent directly to the Board office from the School where you attended the Physician Assistant Program.
• Download a Certification of Physician Assistant Program form.
  • Forward it to the Physician Assistant Program you attended for them to complete and return to our office.
• Download a License Verification form.
  • Fill in the top portion with the pertinent information.
  • Copy and forward it to all states in which you are or have been licensed for them to complete and return to our office.
• Mail or upload documentation of Name Change (e.g. marriage certificate or divorce document).
  • Note: If your name has changed, and any of your licensure documentation shows a different name, you will need to provide documentation of this change (e.g. marriage certificate or divorce document).
• Upload a recent (within 60 days) passport quality color Photograph.
• If only applying for a license only, submit a $100.00 Application Fee (paid only once, either by the Supervising Physician, the Physician Assistant, or the company for whom you will be working).
• If applying for a license and a Practice Notification, submit a $200.00 Total Fee for both documents.
• Submit a Processing Fee that is 2.25% of the total fee.
• Obtain a Criminal Background Check.  Present to one of the 31 IdentoGO Centers in West Virginia www.identogo.com or MorphoTrust in South Charleston, West Virginia.  Advise them the reports are to be sent to WV Board of Osteopathic Medicine.  The cost will be $44.50.
  • State and Federal reports are required.
  • You will need the Service Code: 228QBF in order to process the fingerprints.

If you have any questions, please contact our office.