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Psychiatry Residency Training Program
 
  Applicants Department GME Office Home School of Medicine UW UWHA

Applying for a Limited Medical License in the State of Washington (MD)
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Consistent with the medical staff bylaws of UW School of Medicine’s participating institutions, all residents and fellows must hold an active medical license while training in a UW graduate medical education program. The following are instructions and forms for applying for a limited medical license. If you are applying for a full medical license, osteopathic license or are renewing a license, please go to the licensing page and select the appropriate option.

The Washington State Medical Quality Assurance Commission often takes several weeks to process medical license applications and renewals. In order to minimize the time that it will take to process your application you must ensure that you precisely follow the instructions provided by the Commission. As the instructions provided by the Commission can often be confusing, the following summary has been provided to assist you in your application for licensure.

Step 1: Download and print the Residency Certification form. Fill this form out and submit this form to your program director to certify your status as a resident.

Step 2: Download and print the Medical School Transcripts Request form. Fill this form out completely and send directly to your medical school registrar. Medical school transcripts must show the date that you have received your degree and must be sent directly from the institution. It is your responsibility to ensure that any information required by your medical school registrar is included, as well as any fees for printing official transcripts.

Step 3: Download and print the Application for Limited Medical License. Fill out each section completely and accurately. Attach a current photograph according to the instructions to the application. Send the application, attached photograph and licensing fee directly to the Medical Quality Assurance Commission at the address listed on the form. The application, photograph and check for your fee of $391 are the only forms sent directly to the Commission.

The following forms should be submitted if applicable:

  • Hospital Privilege Verification: required if you have been granted hospital privileges within the last five years. If this is the case, download and print copies of this form for each hospital where you were granted privileges. Fill out the appropriate sections of each form and send directly to the hospitals where privileges were granted.
  • Post Graduate Training Verification: required if you have completed post-graduate training in another state or province. If applicable, fill in the appropriate sections of this form and send directly to the post-graduate training director of that program.
  • State Licensure Verification: required if you have ever had a medical license in another state or province. If this is the case, download and print copies of this form for each state where you have held a medical license. Fill out the appropriate sections of each form and send directly to the state licensing board of each state where you held a license.

Follow up. If you have not received your renewed license after 6 weeks, please call the Commission to determine the status of your renewal at: (360) 236-2771.

If you have any questions, or need additional information and fees, please consult the Medical Quality Assurance Commission web page.

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Psychiatry Residency Training Program
1959 NE Pacific Street, Box 356560
Seattle, WA 98195-6560
206-543-6577
email: psychres@u.washington.edu