Submitting your Medical License

Uploading your Medical License

Please upload a clear, complete, and valid copy of your medical license from New Hampshire or another compact state via the link here. Please note that Massachusetts is not a compact state and you must apply for an NH state license by reciprocity. This process can take between 2 and 6 weeks. You must have an active medical license to be able to participate in this course and it is your responsibility to provide this documentation to us before the start of the course. Should you be unable to provide your medical license, you will be unable to participate in the hands-on portion of the course and you will need to pay to register in the next available hands-on practical to become fully certified and receive CME/CEU credit.

Accepted file types are: .docs, .docx, .JPG, .PNG, .pdf. Please name your file as follows: lastname_firstname_license. Files not named in this manner will be harder to associate with your name and may be returned to you. You will not be permitted to participate in the hands-on portion of the course until we have your active medical license.

Medical License Upload

Email(Required)

What is your first name?(Required)

What is your last name?(Required)

What is your phone number?(Required)

What is your full mailing address (PO Box Included if applicable)?(Required)

What is your Licensing Title in the state of the license you will submit to us?

In what state do you hold your license that you will be submitting to us?(Required)

Please Upload Your Medical License Here. Please name the file as follows: lastname_firstname_license . Example: Tara Delle Chiaie would be dellechiaie_tara_license . The easiest way for you to rename and upload a file is on your computer.(Required)

Drop files here or

Max. file size: 100 MB.

“I attest that I have submitted my active medical license in the state of NH or another compact state if applicable. ” Answer I Agree To Move Further