Application Kit for Full Acupuncture License
Applicants should download or print the Application Kit—it contains all the necessary documents. Please read the instructions carefully before completing your application.
- Acupuncture Full License Kit file size 1MB
The application documents are also available in Word format. IF YOU CHOOSE NOT TO USE THE KIT, THEN YOU MUST DOWNLOAD OR PRINT ALL THE DOCUMENTS BELOW. ALL FORMS MUST BE SUBMITTED.
- Cover Letter
- Full Acupuncture Instructions
- Application Form
- Authorization for Release
- Moral Character of Applicant
- CORI Acknowledgment Form - Effective June 1, 2015
- CCAOM CNT Course Verification Form
- Initial Chinese Herbal Therapy Request Form
- National Practitioner Data Bank
- Deadline Dates for Submission
- Biology Requirements
- Anatomy and Physiology Requirements
- State License Verification
- Malpractice History
This information is provided by the Board of Registration in Medicine.