Board of Registration for the Healing Arts

Application Forms

Applications for licensure are assigned to our processing technicians based on the type of application submitted and the last name of the applicant. The processing technician can provide assistance to you and any individual you authorize us to speak to on your behalf throughout the licensing process. In order to facilitate your contact with the office, please direct inquires to:

 Application TypeProcessing Technician

 Physician - Permanent Licensure:

 Last names beginning with:
 A, B, E, G, H, K, M, N, Q, V, W, Z

 All Physician Reinstatement
 All Physician Inactive Reinstatement
 All Limited License
 All Visiting Professor
 All Late Registration

 Kelly Bowers, Processing Technician II
 kelly.bowers@pr.mo.gov
 (573) 751-0144
 Toll Free (866) 566-3928

 Physician - Permanent Licensure:
 Last names beginning with:
 C, D, F, I, J, L, O, P, R, S, T, U, X, Y

 Sarah Rollins, Processing Technician I
 sarah.rollins@pr.mo.gov
 (573) 751-0134
 Toll Free (866) 439-3895

 Physician - Contiguous

 Pam Borgmeyer, Processing Technician Supervisor
 contiguous@pr.mo.gov
 (573) 751-0177
 Toll Free (866) 439-3897

If you would like to apply for a Missouri permanent medical license, the entire application can be downloaded by clicking the link below.

Physician Application
Physician Limited
Physician Limited Reciprocity
USMLE Step 3 Application

In order to provide access to our application forms from our website with the highest degree of compatibility, the applications are available in Adobe Acrobat format. To view the application forms, Adobe Acrobat Reader version 4.0 or later is required. If you do not have the reader or if you need a current version, it can be downloaded free of charge from Adobe by clicking the button at the bottom of this page. If you have a current version of the Adobe Acrobat Reader and still experience problems accessing the application, it is probably due to a slow Internet connection speed. To work around this problem, try to download the application directly to your computer. To do this, right click on the application link and click "save target as". This will allow you to save the application as a portable document file directly to the location of your choice on your computer. Once the file is downloaded, you can open it from that location. If you need additional assistance, please contact the board office at 573-751-0098.