Regulated ProfessionsPodiatristsChange of Address Please provide the Missouri Board of Podiatric Medicine with any change in your home address. Please use the form below to report address changes, and click submit. You must complete the form in its entirety or no changes will be made. Name as it appears on the certificate Last Name: First Name: Middle Initial: Registration Number: Email: Telephone Number: (Please include area code) New Address Street: City: State: Zip Code: Previous Address Street: City: State: Zip Code: Or send a quick email to podiatry@pr.mo.gov