Obtain License

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.

---

Physician (MD/DO) Needing to Take Step 3 of USMLE Application Forms

	Form #	Title
	2070	General Application Information
	546	Information for Completing Medicine and Surgery Application form #570
	570	Application to Practice Medicine and Surgery
	2164	Medical Education Verification Form (not necessary if utilizing FCVS)
	2165	Certification of Post Graduate Training (not necessary if utilizing FCVS)
	1934	Work History Medicine and Surgery
	2167	Hospital, Facility and Employment Verification Form
	2829	Malpractice Suits or Claims Form (if applies)
	571	Authorization and Waiver
	AMA Site	American Medical Association Physician Profile Data
	1935	Request for Physician Profile Data (required for DO only)
	1445	Disciplinary Inquiries Report (not necessary if utilizing FCVS)
	2252	Convictions and Pending Charges (if applies)
	openbook	This link is required to take the Wisconsin Statues and Rules  exam. Please note: This must completed before being eligible to take the Step 3 of USLME
	2636	Application Packet Addendum -This is required to receive the USMLE Step 3 application packet
	1988	Notices (Department Information)