Applications and Forms

Contact PCS for all applications and testing information at:
Professional Credential Services, Inc. (PCS)
Tel. 877-887-9727 (toll free) or 615-880-4225
Website: www.pcshq.com

If you have been asked to provide the Board permission to request a CORI check, please submit this form.

If you require a certificate of verification to go to another jurisdiction(s), please submit separate verification request forms with applicable fees for each verification requested.

The Online Change of Address feature allows you to change your address of record listed in our database. To use this function, you must provide certain information for authorization.

This PDF form maybe used to request a name change, address change or a duplicate license.

Note: The Health Care Fraud Application is for use by insurance companies and fraud agencies.