Text Resize

-A +A
Bookmark and Share

Surgical Assistants Initial License Application Package

The applications package for the Advisory Committee on Surgical Assistants must include all documents listed in the chart below. The Board reviews each application package and determines an applicant's eligibility for a license. Please follow the instructions and include all forms in the application package in hard copy format.

Specific instructions are provided within each form below.

Application Package Documents

New License Application [PDF]

Application Information Documents

Application Instructions [PDF]
Application Check List [PDF]
Criminal Background Check
 

Contact Phone: 
(877) 672-2174
Contact Fax: 
(202) 727-8471
Contact TTY: 
711
Office Hours: 
Monday to Friday 8:15 am to 4:45 pm
Service Location: 

Health, Department of


GIS Address: 
899 North Capitol Street, NE
City: 
Washington
State: 
DC
Zip: 
20002