Wyoming Administrative Code › Agency 052 - Medicine, Board of › Sub-Agency 0001 - Medicine, Board of › Chapter 1 - LICENSE ELIGIBILITY, APPLICATION AND INTERVIEWS › Section 1-4 - Eligibility for licensure

Current through July 13, 2024
(a) General
				requirements.
(i) To be eligible for
				consideration for licensure, an applicant shall submit an application on the
				form or forms supplied or approved in advance by the board.
(ii) Any application, to be eligible for
				consideration, shall be accompanied by the required fee in immediately
				negotiable funds.
(iii) For an
				application to be considered complete, all documents, reports and related
				materials must be received in the board's office and meet all requirements set
				forth in the Act and the rules adopted by the board.
(iv) References shall be submitted on a form
				approved, and contain information as specified, by the board.
(A) Three (3) original references from
				physicians are required including at least two (2) from physicians with whom
				the applicant has practiced medicine within the past three (3) years. In
				exceptional circumstances the board may waive one (1) or more of the required
				reference letters. References from physicians with whom the applicant has a
				current or prospective financial, business or family relationship are not
				acceptable.
(B) All references
				shall be on a form prescribed by the board, dated within six (6) months of the
				application date and signed by the referring physician.
(C) If a submitted reference is incomplete or
				otherwise fails to provide sufficient information about the applicant, an
				applicant may be required to submit one or more references in addition to those
				required in subparagraph (A).
(v) An application, to be considered, shall
				be complete in all respects no later than fifteen (15) business days prior to
				the licensure interview date, should a licensure interview by required by these
				rules.
(vi) The board shall issue a
				written notice of ineligibility to any applicant who does not meet the
				eligibility requirements, or has otherwise failed to submit an application
				which meets the requirements, of the act or these rules.
(vii) Applications shall remain on active
				status for six (6) calendar months from the date the application document is
				received in the board office. The applicant is eligible for a licensure
				interview with the board, if one is required by these rules, at any time within
				the six (6) month period following the date the application is complete
				pursuant to Ch. 1, Section  4(a)(iii) of these rules. If an incomplete
				application expires pursuant to this paragraph, the applicant may restart the
				application process by submitting an application update form prescribed by the
				board, the initial application fee, any items missing from the original
				application, and updating any items determined by board staff to be
				out-of-date, including but not limited queries of the NPDB and criminal history
				record checks pursuant to Section  13  of this chapter and W.S. 33-26-202(b)(xvi)
				 and W.S. 7-19-106(a)(xiii).
(viii)
				Pursuant to  8 U.S.C. 1621, any applicant for licensure shall verify his or her
				lawful presence in the United States on a form approved or prescribed by the
				board.
(ix) Any applicant for
				licensure or renewal of licensure shall, pursuant to W.S. 33-1-114, provide his
				or her Social Security number as part of any application for
				licensure.