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Acupuncture Application Package

The applications package for the Advisory Committee on Acupuncture must include all documents listed in the chart below. The Board reviews each application package and determines an applicant's eligibility for a license. There are two different types of forms: online application forms and printable forms. Please follow the instructions for each and include all forms in the application package in hard copy format.

Online Application: At this time, only the application form may be filled out online. However, the form cannot be submitted electronically; you must include a printed version with the other items listed in the chart to complete the application package. Fill in the information online, print the form, sign it, and mail it with the rest of your items.

Printable Forms: Print the form, fill it out, sign it, and include it with the application package.

Specific instructions are provided within each form below.
 

Application Package Documents

New License Application [PDF]
Character Reference Form [PDF]
Criminal Background Check  

Application Information Documents

Application Instructions [PDF]
Application Check List [PDF]

Contact TTY: 
711