1. All applicants for licensure in New Hampshire are required to submit their background credentials
   to the Federation Credentials Verification Service (FCVS). FCVS is a service of the Federation of
   State Medical Boards, a non-profit organization representing the 70 medical and osteopathic boards of
   the United States and its territories. FCVS was created to help simplify the licensure process for
   physicians (both MDs and DOs).
   By eliminating the re-verification of documents that never change, physicians benefit from a shortened
   credentialing process when applying to another state board. This profile can be updated and sent to
   boards and other entities as needed. Currently, 55 medical boards accept FCVS profiles in lieu of the
   applicant providing original credentials for verification. New Hampshire and 13 other state boards require
   all applicants to use FCVS for credentials verification.
   FCVS requires a one-time submission of education and training documents directly to a depository
   maintained by FSMB. The documents verified and securely stored include:
   • Identity
   • Medical Education
   • Postgraduate Training
   • Board Action/Disciplinary History
   • ABMS Board Certification
   • ECFMG Certification (if applicable)
   • Exam History (state licensing authorities only)
2. All applicants must also complete the Uniform Application for Physician State Licensure (UA),
   another service provided by FSMB. Similar to FCVS, the UA eliminates redundancy when applying to
   multiple participating states. After completing the UA for the first time, your application is securely stored
   and can be resubmitted to another board without reentering the same information. You would make
   updates as needed and complete board-specific requirements.
3. In addition to the FCVS and UA applications and processes, you must submit additional
   information directly to the Board. The Board will use this information, along with the FCVS profile, to
   assess your qualifications for licensure. The Board conducts an independent background investigation. Please allow a minimum of 8 weeks for the entire licensure process to be completed. If you have malpractice or disciplinary history, it can take an additional 2 or 3 months for all pertinent documentation to be received.

The Board meets and reviews applications on the first Wednesday of each month. Only applications that are
complete, including all outside verifications, will be forwarded to the Board for review. The agenda for Board
consideration is closed at 4:00 pm the Friday before the Board meets. Applications completed after 4:00 pm the
Friday before the Board meets will be placed on the next month’s agenda. Faxed materials are not acceptable.
Licenses will be issued within 7-10 working days following the Board meeting and are emailed to the address
furnished in your application. You are responsible for notifying the Board office, in writing, if your address(s)
changes in the interim.

Please continue to review the remaining portions of this application packet for instructions and other materials
necessary to complete the Board application. If you have questions about this application process or would like to
check on the status of your Board application, please call the Board at (603) 271-6935.

Since the FCVS application process is fairly lengthy, and unless you already have an FCVS profile, you may want
to apply for a temporary license in New Hampshire. A temporary license, if issued, is valid for only 6 months and
requires you to provide a completed application, with the exception of the FCVS application, and additional
information as follows:

1. Evidence of qualifications as follows:
   1. Proof of a full, unrestricted medical license in another state received directly from the state
      licensing authority indicating that the applicant’s license covers the dates in which he or she is
      practicing in New Hampshire; or
   2. Certified copies of medical degree diploma, proof of 2 years of postgraduate training which meet
      the requirements of Med 302.01, and proof that you have passed one of the licensure
      examinations listed under Med 303.01.
2. Proof that you have applied to the FCVS with full intent to complete the FCVS process; and
3.  The temporary license fee of $50.00. Make check payable to TREASURER, STATE OF NEW
   HAMPSHIRE. Please submit one check for the temporary license fee ($50.00) which is nonrefundable and a separate check for the full license application fee ($320.00).
4. If the Board receives the FCVS before the initial application is completed, then you are not eligible
   for a temporary license.

** Before applying for the temporary license, please contact the New Hampshire facility you are applying
at to confirm that they accept the temporary license.

Before completing the application process, please review the following requirements for licensure in New Hampshire:

• Obtained the M.D./D.O. degree or its equivalent as determined by the Board.
• Completed at least 2 years of postgraduate training in the U.S. or Canada approved by the Board, or its
  equivalent as determined by the Board.
• Successfully passed a national licensing examination sequence (or its acceptable hybrid combination) as
  approved by the Board on each examination, including:
  
  • National Board of Medical Examiners (NBME) Part I, II and III.
  • Pre-1985 FLEX or FLEX Component 1 and 2;
  • USMLE Step 1, 2 and 3.
    o NBOME Part I, II and III (or COMLEX).
  • Licentiate of the Medical Council of Canada (LMCC).

If you do not meet, or have questions about these requirements, please contact the Board prior to submitting your application.

1. All documents you submit must be originals, signed on letterhead unless notarized copies are specifically
   authorized.
2. You will receive an acknowledgment letter once your application has been received. This letter will advise
   you of what information, if any, is outstanding at that time. If you do not receive an acknowledgment letter
   within 30 days, please contact the Board between 8:00 A.M. and 4:00 P.M. EST.
3. With the acknowledgement letter, you will receive paperwork to complete a criminal background check.
   Pursuant to RSA 329:11-a, you are required to submit a notarized criminal history record release
   form, along with a fee, which authorizes the release of your criminal history record, if any, to the
   Board. This form will be provided to you with your acknowledgment letter once your application
   has been received by the Board. PLEASE NOTE: the criminal history submitted to the Board from
   the N.H. Division of State Police shall only be valid for three (3) months from the time it’s received
   in the Board’s office.
4. Make a check, postal or express money order (in U.S. funds only) for the application fee of $320.00
   payable to: TREASURER, STATE OF NEW HAMPSHIRE and staple it to the upper left-hand corner of
   the first page of the addendum. This application fee is non-refundable. [NOTE: This is the Board
   application fee. The FCVS verification fee is an additional and separate fee paid directly to FCVS.]
   New Hampshire Board of Medicine Uniform Application Instructions and Checklist
   Revised 4/19/22 Page 3 of 5
   (An additional $50.00 fee is required if requesting a temporary license. Please submit one check
   for the temporary license fee ($50) and a separate check for the full license application fee ($320)
5. Obtain original letters of reference, on letterhead and addressed to the board, from the following: The
   chief medical officer or president of the medical staff in every hospital in which you currently hold staff
   privileges OR letters of reference from 2 practicing physicians.
   Reference letters must be originals, submitted on letterhead and addressed to the board.
   References may be submitted by the applicant or by the physician providing the reference.
6. Submit a notarized copy of your American Board of Medical Specialty Certificate(s), if applicable.
7. Submit your curriculum vitae.
8. Submit a notarized copy of your current Drug Enforcement Administration (DEA) certificate.

Your application process is not considered complete until your Board application, licensure verification(s), and
FCVS Physician Information Profile are received in a manner satisfactory to the Board. The Board will not
accelerate processing of one applicant at the expense of others for any reason. Once completed, your application
will be reviewed at the first available Board meeting. Please allow 7-10 working days following the Board meeting
for your license to be mailed to you.
Note: Do NOT make commitments to start practicing medicine in New Hampshire until you have been
issued a license.