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New License Application

Print the following file and complete the information to apply for a  license to practice podiatry in the Commonwealth of Kentucky.  The file is available in Adobe Acrobat (.pdf format.)  If you are unable to print the application, call the Board of Podiatry and we will mail you the forms.

Application for Licensure

On page six (6) of the application is a list of nine things that must be submitted to complete your application, along with the application, recent photo and check in the amount of $250.00.

 

NOTICE

Criminal Background Check Requirement for Initial Licensure

** Effective July 1, 2012 **

HB 1 KASPER legislation mandates the Board of Podiatry require criminal background checks performed by the FBI.

Instruction for FBI Background Checks

  1. Fill out the background check application from the FBI website.
  2. You must indicate on the form that the results be mailed to:

    Kentucky Board of Podiatry
    PO Box 174
    Glasgow, KY 42142
  3. Take the completed form to any Sheriff's Department, local Police Department or State Police Department.
  4. Your fingerprint card will be completed at the station.
  5. Mail the completed form, the fingerprint card and the $18 fee to:

    FBI CJIS Division - Record Request
    1000 Custer Hollow Road
    Clarksburg, WV 26306

**Do NOT send the Fingerprint Card to the Board of Podiatry**

**Allow 10 to 12 weeks for the FBI to process your fingerprint card**

 

National Practitioner Data Bank Self Query Required for Initial Licensure

With the exception of new graduates, all Candidates for a Kentucky Podiatry License are required to obtain a NPDB Self Query, as a part of the application process. To request a Self Query, go to NPDB Self Query.

 

1.5 Hours Course on KASPER, pain management, or addiction disorders is also required for initial licensure in Kentucky.  Online courses are available at ​www.kypma.org or ​​http://www.chfs.ky.gov/os/oig/KASPER.htm