State of Wisconsin Department of Regulation & Licensing
Ensuring the availability of safe and competent professional services 		Secretary Celia Jackson
 Secretary Jackson
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Acupuncturist - Forms

Petitions for refunds must be in writing and may be granted only if the criteria set forth in Wis. Admin. Code s. RL 4.06 are met.


Acupuncturist Application Packet
Form #
Title
Application Information Form (Department Information)
Instructions for Completing the Application For Certification As An Acupuncturist

Application For Certification As An Acupuncturist

Affidavit of Active Acupuncture Practice ( For reciprocal applicants only)
Convictions and Pending Charges
Notices (Department Information)

Other Information/Forms

Form #
Title
Requests for Modification of Examinations For Persons With Disabilities
Disability Modification Request Form for Examinations
Professional Verification of Request For Modification