Department of Health
John J. Dreyzehner, MD, MPH, Commissioner
Board of Podiatric Medical Examiners
Applications
Applications
- Affidavit of Replacement License (PH- 4054)
- Application for Licensure as a Podiatrist (PH-0974)
- Application for Certification as an X-Ray Operator in a Podiatrist's Office (PH-3644)
- Application for Licensure as an Orthotist, Prosthetist or Pedorthist (PH-3900)
- Reinstatement Application (PH-2481)
-
Mandatory Practitioner Profile
Questionnaire for Licensed Health Care
Providers (PH-3585) - Name and Address Change Request (PH-3619)
- Affidavit of Retirement From Practice in Tennessee (PH-3460)
Noteworthy
Noteworthy
- E-Prescribing Controlled Substances
- Criminal Background Check Required for New Applications
- Statute Change for Release of Medical Records (05-16-2006)
- DEA Controlled Substance Registration (09-17-2004)
- Customer Survey (03-04-2004)
- Homeland Security (02-12-2004)
Governor Bill Haslam
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