The Washington Osteopathic Physician and Surgeon License application is the official credentialing form that every osteopathic medical school graduate must complete to legally practice osteopathic medicine and surgery in Washington State. The Washington Board of Osteopathic Medicine and Surgery, housed within the Department of Health, reviews and approves these applications under the authority of Chapter 18.57 RCW.
You cannot see a single patient in Washington until this license is in your hands, so getting every line right matters. The Board recommends you submit a complete application and all supporting documents at least 60 days before your planned start date, and even a small error, such as a name mismatch or a missing transcript, can push that timeline out by weeks or even months. Here is what you will learn in this guide:
- 📋 How to complete the online Uniform Application (UA) line by line without triggering a processing hold.
- 🔍 How the fingerprint background check and the AOIA report can quietly delay your license.
- ⚖️ How to answer all 15 Personal Data Questions on the Addendum honestly and safely.
- 🩺 How new graduates, out-of-state physicians, and residents each take a slightly different path.
- ✅ How to file by mail, use FCVS, and keep the right proof so you never lose your place in line.
What the Washington Osteopathic Physician License Is and Who Must File It
The Washington Osteopathic Physician and Surgeon License is the credential that grants a Doctor of Osteopathic Medicine (DO) full authority to diagnose, treat, prescribe, and perform surgery in Washington State. The form is built around the Uniform Application for Physician State Licensure, called the UA, which the Board uses together with a state-specific Addendum. This application is for osteopathic medical school graduates only.
If you graduated from an allopathic (MD) program, you do not use this form. Instead, you must apply through the Washington Medical Commission, which is a separate agency with its own application. Filing the wrong form is one of the most common early mistakes, and it means starting over from scratch.
The legal backbone of this process is RCW 18.57.020, the statute that lays out application requirements. In plain English, this law says you must prove you earned a real osteopathic degree, finished approved postgraduate training, and have no conduct that would bar you from practice. If you ignore this statute and skip a required proof, the Board must reject your application by law. For example, Dr. Priya Nair once submitted her application without postgraduate training verification and her file sat untouched until the missing form arrived. A common misconception is that passing your boards alone earns the license, when in fact the statute treats training, exams, and character review as equal parts.
To qualify, you must have graduated from a school accredited by the American Osteopathic Association Commission on Osteopathic College Accreditation, completed at least a one-year approved internship or the first year of an approved residency, and passed an exam approved by the Board. The relevant rules live in WAC 246-853. The Board, the Department of Health, FCVS, the FSMB, and your exam agency (NBOME or FSMB) all interact in this process, and each one holds a piece of your file.
Before You Start: Documents and Information You Need
Gathering your materials before you open the UA saves you from the slow, painful stop-and-start cycle that traps most applicants. The Board warns that failure to submit all required information and documentation will result in delays processing. Here is your pre-filing checklist, with the reason each item matters.
- Social Security Number. State and federal law require it on your application; an ITIN or Canadian SIN cannot be substituted, and a missing SSN halts the file at intake.
- Legal name proof. Your name must match your birth certificate, marriage certificate, or court order, because a mismatch can lead to denial under the UA name rules.
- Osteopathic school transcript request. Your school must send transcripts directly to the Board, since documents handed in by you are not accepted.
- Postgraduate training details. You need program names, directors, and exact dates so training verification can be requested without gaps.
- Exam scores (COMLEX, USMLE, or FLEX). The Board needs certified transcripts from NBOME or FSMB to confirm you passed an approved exam.
- AOIA report request. Order the American Osteopathic Information Association profile from aoaprofiles.org; the Board checks this for every applicant.
- Complete work and activity history. You must account for all time since medical school graduation, including non-working gaps, or the Chronology page will be rejected.
- Malpractice claim records. Any liability claim needs a copy of the final disposition, including dismissals, attached to your file.
- A 2” x 2” passport-quality color photo. Less than six months old, head and shoulders only; digital photos, proofs, and negatives are not acceptable.
- License verification for every credential ever held. Each board that issued you any healthcare license must verify it directly, active or inactive.
The single most overlooked item is the AOIA report, because applicants assume the Board pulls it for them. Marcus Bell, a new graduate, lost three weeks because he never ordered his AOIA profile and the Board could not finish his background review without it.
Where to Get the Form and How to Access It
The Washington osteopathic license is filed almost entirely online through the FSMB portal, with a paper Addendum and affidavit mailed to the Board. You access the core application by visiting the FSMB MyFSMB portal and clicking the UA icon to sign in. First-time users create an account, while returning users select the Washington Board in the State Board section to reopen an existing UA.
The state-specific instructions and Addendum packet, revised October 2025, are published as a downloadable PDF on the Board’s licensing page. Confirm you are using the October 2025 revision, because the Board updates questions and procedures over time and an old packet can leave out a required form.
You will likely touch three systems. The UA holds your core application, FCVS verifies your primary-source credentials if you choose to use it, and the paper Addendum captures the 15 Personal Data Questions and the notarized affidavit. A common misconception is that everything is online; in reality, your notarized affidavit, your photo, and your check must travel by mail to Olympia. If you skip the mailed pieces, the online portion alone will never produce a license.
Step-by-Step: How to Fill Out the Washington Osteopathic License Application Line by Line
This walkthrough follows the official order of the Uniform Application and the October 2025 Addendum. Complete each field exactly as labeled, because the Board cross-checks your entries against outside databases and primary-source documents.
Identification: Legal Name
The Identification page asks for your full legal name, the name that appears on your birth certificate, or on a marriage certificate or court order if your name changed.
Enter your name exactly as it reads on that official document, with no nicknames and no abbreviations. Dr. Elena Vasquez-Romero writes her full hyphenated surname rather than shortening it to Romero. If your name has changed, you must list the prior name in the Alternate Name section and later notify the Department of Health in writing with proof, under WAC 246-12-300. The most common mistake is entering a married name that does not yet match your legal documents, which can cause the Board to question your identity and delay verification. Many applicants wrongly believe the Board accepts the name they use day to day, when only the legal name on file is acceptable, and using another name may cause denial.
Identification: Social Security Number
This field asks for the Social Security Number that state and federal law require on the application.
Type the nine-digit number with no dashes or spaces unless the field formats it for you, and double-check each digit. Marcus Bell enters his SSN as 123456789 and confirms it against his Social Security card. If you do not yet have an SSN, you must call the Customer Service Center at 360-236-4700 before sending the application rather than leaving the field blank. The key mistake here is substituting an ITIN or Canadian SIN, which the Board flatly rejects and which stops your file at intake. A frequent misconception is that the SSN is optional for privacy reasons, but it is legally mandatory and your application cannot move without it.
Identification: National Provider Identifier (NPI)
This field asks for your 10-digit National Provider Identifier, the standard number issued by the federal Centers for Medicare and Medicaid Services.
Enter the number if you already have one, and leave it blank if you do not, since it is not required to start. Dr. Priya Nair, who billed Medicare during residency, enters her existing NPI here. New graduates often do not have an NPI yet, and that is fine; the field is informational and will not block your application. The mistake to avoid is inventing or guessing a number, which creates a mismatch in federal records. People wrongly assume an NPI is mandatory for licensure, when the Board simply records it if it exists.
Addresses: Home and Business
This section asks for your home address and a separate business or postgraduate training address, with both a Board Contact and a Public Access selection.
Provide complete addresses including city, state, zip code, and country, and make both required selections even if you use the same address for each. Dr. Elena Vasquez-Romero lists her Spokane apartment as her home address and her clinic as her business address. If you have only one address, you may use it for both selections, but you cannot leave either blank. The common error is skipping the Public Access choice, which leaves the page incomplete; remember that under Chapter 18.130 RCW your current contact details are not public information. Many applicants believe their home address becomes public, but the Board shields a provider’s address and phone from public release.
Other Professional Licenses
This field asks you to list every other professional license you have held in the U.S. or Canada, such as nurse, EMT, or physician assistant, whether active or inactive.
Enter each non-MD, non-DO license you have ever held, and for licenses from outside the U.S. or Canada, send that information to the Board on a separate sheet. Marcus Bell, a former paramedic, lists his expired EMT certification here. Do not enter your MD or DO license in this section, because that data flows directly from state boards into the FSMB system; if it is wrong, email ua@fsmb.org to fix it. The biggest mistake is adding a DO license under “Other,” which duplicates records and confuses verification. A common misconception is that inactive or expired licenses can be skipped, but the Board wants every credential you have ever held.
Chronology of Activities
This section asks you to account for every activity from medical school graduation to the present, including employment and non-working time.
Fill in each entry with no gaps, using the first day of the month for start and end dates when you do not know the exact day. Dr. Priya Nair lists her residency, a three-month research gap, and her current locum work as separate entries. List military and locum tenens assignments separately by location, and check the Staff Privileges box for any site where you held admitting privileges. The classic mistake is leaving an unexplained gap, which the Board reads as missing information and flags for follow-up. Applicants often think short breaks can be ignored, but every month must be accounted for, including time spent traveling or caring for family.
Malpractice and Professional Liability Claims
This page asks you to report all past and current professional liability claims or lawsuits filed against you.
List each claim and attach a copy of the final disposition for every case, including any that were dismissed. Dr. James Okafor reports a single 2019 claim that was dismissed and attaches the court order showing the dismissal. If you have never had a claim, you may leave this page blank with confidence. The serious mistake is omitting a dismissed case, because the Board still finds it through the AOIA report or the National Practitioner Data Bank, and the omission looks like dishonesty. Many physicians wrongly believe a dismissed lawsuit does not need to be disclosed, but every claim must be reported.
Addendum: Application Type and Examination Route
The Addendum opens by asking whether you seek a Full License or a Limited License, and which exam route you are using: National Board Endorsement, FLEX Endorsement, or USMLE Endorsement.
Check the single box that matches your situation and your exam history. Dr. Elena Vasquez-Romero, a COMLEX-passed graduate, checks Full License and National Board Endorsement. If you are a resident training in Washington, you check Limited License instead. The mistake here is checking an exam route that does not match the scores you actually hold, which creates a contradiction the Board must resolve before moving forward. A misconception is that any exam qualifies; only the exams accepted by the Board, such as COMLEX Levels 1, 2, and 3 or USMLE Steps 1, 2, and 3, are valid.
Addendum: Personal Data Questions 1 Through 4 (Health and Substance Use)
These questions ask whether a medical condition or chemical substance currently impairs your ability to practice safely, and whether you have been treated for certain conditions or use controlled substances illegally.
Answer each question honestly with a Yes or No, and attach a signed, dated explanation for any Yes. Dr. James Okafor, who manages a treated condition with no current limitation, answers carefully and attaches a letter describing how treatment removed any impairment. If a condition could affect safe practice, the Board directs you to contact the Washington Physician Health Program at 800-552-7236, which it treats as a safe haven. The mistake to avoid is hiding a condition that later surfaces, which raises a far bigger problem than the condition itself. A widespread misconception is that any health diagnosis bars licensure, when the Board only asks about conditions that currently limit safe practice.
Addendum: Personal Data Questions 5 Through 9 (Legal and Disciplinary History)
These questions ask about criminal convictions or pleas, drug-law findings, health-profession law violations, license actions taken against you, and credentials you surrendered to avoid action.
Answer Yes or No to each, and for every Yes attach an explanation plus certified copies of all judgments, decisions, orders, agreements, and surrenders. Dr. Marcus Bell, who had a deferred misdemeanor years ago, answers Yes to Question 5 and attaches certified court documents. A criminal history does not automatically bar you, but failing to report it can delay or deny the application and add cost. The most damaging mistake is answering No to hide a record, because the Department runs criminal background checks on every applicant and will find it. Many applicants believe an expunged or deferred case does not count, but you must still disclose it.
Addendum: Personal Data Questions 10 Through 15 (Practice and Vulnerable-Person History)
These questions cover civil malpractice judgments, hospital or society privilege actions, formal or informal discipline, current investigations, agreements to restrict your practice, and disqualification from working with vulnerable people by DSHS.
Answer each one truthfully and attach explanations and certified documents for every Yes. Dr. Priya Nair answers Yes to Question 13 because a routine board inquiry is open in another state, and she explains it fully. Even an informal action or a pending investigation must be disclosed under these questions. The mistake is treating “informal” discipline as not worth mentioning, when the Board specifically asks about both informal and formal actions. A common misconception is that an out-of-jurisdiction matter is invisible to Washington, but another jurisdiction includes any other country, state, federal territory, or military authority.
Addendum: Hospital Privileges
This section asks you to list every hospital and location where you have held admitting privileges within the past five years.
Enter the name and location of each hospital with the months and years attended, and for locum tenens list only assignments of 30 days or longer. Dr. James Okafor lists his two staff-privilege hospitals with exact month-and-year ranges. Be sure to also check the matching box on the Chronology page of the online UA so the two sections agree. The mistake is listing privileges here but forgetting to check the box in the UA, which creates an inconsistency the Board must reconcile. Applicants sometimes think only current privileges matter, but the form asks for a full five-year history.
Addendum: Applicant’s Attestation
The Attestation asks you to declare under penalty of perjury that you are the person described, that you answered all questions truthfully, and that your documents are accurate.
Print your name in the declaration, then sign and date it, because the Board cannot process the application without your signature. Dr. Elena Vasquez-Romero prints her full legal name, signs, and dates the attestation 05/14/2026. By signing you confirm you have read RCW 18.130.170 and RCW 18.130.180 of the Uniform Disciplinary Act. The mistake is leaving the attestation unsigned or undated, which makes the entire packet incomplete. Many applicants treat this as a formality, but a false attestation can lead to criminal prosecution and denial of the license.
UA Affidavit and Authorization for Release of Information (Notarized)
This separate form asks you to swear, in front of a notary, that all your statements and documents are true, and to authorize the release of records about you.
Sign this form only in the presence of a notary public, and securely attach your recent 2” x 2” passport-quality color photo in the space provided. Dr. Marcus Bell visits a notary, signs the affidavit, and tapes his photo so the notary seal overlaps its bottom-left corner. The date you sign must match the date the notary witnesses it. The mistake is signing the affidavit before reaching the notary, which voids the notarization and forces you to redo it. A key misconception is that this affidavit goes to FCVS; it does not, and sending it there will delay your licensure, so mail it directly to the Board.
Three Filled-Out Examples Using Real Scenarios
Each scenario below follows one named applicant through the most important sections of the application so you can see what a complete entry looks like.
Scenario 1: New COMLEX Graduate Applying for First Full License
Dr. Elena Vasquez-Romero just finished her first residency year and is applying for full licensure by national board endorsement.
| Form Section | What Dr. Vasquez-Romero Enters |
|---|---|
| Legal Name | Elena Vasquez-Romero, exactly as on her birth certificate |
| Social Security Number | Her nine-digit SSN with no dashes |
| Application Type (Addendum) | Checks Full License and National Board Endorsement |
| Exam Route | COMLEX Levels 1, 2 CE, 2 PE, and 3 |
| Chronology of Activities | Medical school, then PGY-1 residency, no gaps |
| Personal Data Questions 1–15 | Answers No to all, no attachments needed |
| Hospital Privileges | Lists her residency teaching hospital |
| Affidavit and Photo | Signs before a notary, attaches a 2” x 2” color photo |
She submits at least 60 days before her planned start date and uses FCVS to verify her credentials.
Scenario 2: Out-of-State DO Applying by Endorsement With a Temporary Permit
Dr. James Okafor is licensed in Oregon with a clean record and wants to start work in Washington quickly.
| Form Section | What Dr. Okafor Enters |
|---|---|
| Application Type (Addendum) | Checks Full License and USMLE Endorsement |
| Other Professional Licenses | Lists his Oregon DO license route via FSMB |
| Temporary Permit | Requests the 180-day one-time permit |
| Personal Data Questions | Answers No to all, including Question 10 on malpractice |
| Malpractice Page | Left blank, since he has no claims |
| License Verification | Oregon board verifies his active license directly |
| Equivalency Proof | Documents that Oregon standards match Washington’s |
| Affidavit and Photo | Notarized affidavit with current passport-style photo |
Because he has no Yes answers and no discipline, he qualifies for the temporary permit while his full license is processed.
Scenario 3: Resident Applying for a Limited License During Postgraduate Training
Dr. Priya Nair matched into a Washington residency and needs a limited license to train.
| Form Section | What Dr. Nair Enters |
|---|---|
| Application Type (Addendum) | Checks Limited License (Postgraduate Program) |
| Osteopathic Transcript | Her school sends transcripts showing her DO degree |
| Training Appointment Verification | Her program director completes Addendum 3 |
| Supervision | Notes practice only under a Washington-licensed physician |
| Chronology of Activities | Medical school through the start of her residency |
| Personal Data Questions | Answers No to all 15 |
| Fee | Pays the limited license application fee |
| Affidavit and Photo | Notarized affidavit with attached photo |
Her limited license is issued for one year from her training start date and renews annually until she finishes the program.
How to File the Completed Application
Filing this license is a hybrid process: you submit the core application online and mail the supporting documents and payment to Olympia. Below are the channels and exactly what each requires.
Online (Uniform Application). Complete the UA at the FSMB MyFSMB portal, select the Washington Board, and submit. First-time users pay a one-time UA service charge on the payment page, which is separate from FCVS and state licensing fees, by credit or debit card. Processing begins after the Board receives both your online UA and your mailed materials, and you should keep your FSMB payment receipt as proof.
By mail (Addendum, affidavit, and fee). Mail your completed State Addendum, all documentation, your notarized UA Affidavit, and a check or money order for the non-refundable application fee to the Department of Health, P.O. Box 1099, Olympia, WA 98507-1099. Confirm the current fee amount on the Board’s online fee page before writing your check, since amounts change. Keep a copy of everything you mail and use tracked mail so you have proof of delivery.
By mail (other credentialing documents). Send transcripts, verifications, and other items that arrive separately to Osteopathic Credentialing, P.O. Box 47877, Olympia, WA 98504-7877. All such documents must come directly from the originating source, not from you, and copies or faxes are not accepted. Expect to allow extra time for any Board investigation, and remember that practice is not permitted before the license is issued.
If you use FCVS, designate the Washington Board to receive your profile, since self-designations are not accepted. FCVS verifies your identity, education, training, and exams, so you do not send those primary-source documents to the Board yourself.
What Happens After You File
After you submit, the Board reviews your file for completeness and may request more documentation or information before deciding. The process is confidential, and information about a pending application is released only to you or to a person you name in writing. Most clean applications are reviewed within weeks, but the Board advises filing 60 days ahead because verifications and background checks take time.
If you qualified for a temporary permit and have no disciplinary history or Yes answers, the Board may issue a 180-day permit so you can begin work while your full license is finalized. Be aware that verifying another state’s equivalency can take longer than the full application itself, so the permit does not always save time. Fees are non-refundable, so apply for the permit only if it truly helps you.
Once licensed, you must keep your credential current. Osteopathic physicians complete continuing medical education under WAC 246-853-060 through 080, and you renew on a cycle tied to your credential. If you change your name or address, you must notify the Department of Health in writing under WAC 246-12-310, with proof of any name change. A common misconception is that the license is permanent once granted, but it lapses if you miss renewal or CME requirements.
Mistakes to Avoid When Filling Out the Application
- Filing the MD application instead of the DO application. Your file goes to the wrong agency and you start over.
- Substituting an ITIN or SIN for an SSN. The Board rejects it and your application stalls at intake.
- Using a name that does not match your legal documents. The Board questions your identity and may deny the application.
- Leaving gaps in the Chronology of Activities. The Board treats unexplained time as missing information and flags the file.
- Forgetting to order the AOIA report. The background review cannot finish and your license is delayed.
- Sending transcripts yourself instead of from the source. Documents handed in by the applicant are not accepted.
- Omitting a dismissed malpractice claim. The Board finds it independently and the omission looks dishonest.
- Answering “No” to hide a criminal record. The mandatory background check exposes it and can lead to denial.
- Signing the affidavit before reaching the notary. The notarization is void and you must redo the entire form.
- Sending the UA Affidavit to FCVS by mistake. It belongs to the Board, and misrouting it delays your licensure.
- Skipping the Public Access address selection. The address page stays incomplete and holds up processing.
- Attaching a digital or proof photo instead of a printed 2” x 2” photo. The affidavit is rejected for an invalid photo.
Do’s and Don’ts
Do:
- Do confirm you are using the October 2025 revision of the packet, because older versions may omit a required form.
- Do submit your full application at least 60 days before your start date, since verifications take real time.
- Do order your AOIA report early, because the Board needs it for every applicant.
- Do account for every month since graduation, as the Board demands a gap-free Chronology.
- Do disclose every claim, conviction, and action, because honesty protects you more than silence.
- Do keep tracked-mail receipts and your FSMB payment receipt as proof of filing.
Don’t:
- Don’t practice before your license is issued, because doing so is unlawful under Chapter 18.57 RCW.
- Don’t send copies or faxes of credentials, since the Board only accepts originals from the source.
- Don’t enter your DO license under “Other” in the UA, because that data flows in automatically.
- Don’t assume a dismissed or deferred case is invisible, as the Board checks state and federal databases.
- Don’t sign the affidavit outside a notary’s presence, because that voids it.
- Don’t write your check before confirming the current fee, since amounts change and wrong fees cause delays.
Pros and Cons of Filing on Your Own vs. With Help
Many applicants complete this license themselves, while others use FCVS or a credentialing service. The table below weighs the tradeoffs.
| Filing Approach | What It Means for You |
|---|---|
| Filing on your own | Lower cost, full control, but you manage every transcript, verification, and deadline yourself |
| Using FCVS | A reusable profile that speeds future state applications, at an added fee, ideal if you may license in several states |
| Using a credentialing service | Hands-off convenience and fewer errors, but the highest cost and less direct insight into your file |
Pros of filing on your own:
- Saves money because you avoid service fees, which matters for new graduates on tight budgets.
- Gives you direct control over timing, so you know exactly where each document stands.
- Builds familiarity with the Board’s rules, which helps at renewal time.
- Keeps your file simple when you have a clean, straightforward history.
- Avoids the handoff delays that can happen when a third party manages your documents.
Cons of filing on your own:
- Easy to miss a step like the AOIA report, which delays licensure.
- You must chase down every verification yourself, which takes time and persistence.
- A single name or date error can stall the whole file.
- You shoulder the stress of tracking deadlines across multiple agencies.
- Without FCVS, future multi-state licensing means repeating the verification work.
FAQs
Do I use this form if I am an MD instead of a DO?
No. This application is for osteopathic graduates only. MDs must apply through the Washington Medical Commission, which is a separate agency with its own application and process.
Do I have to provide a Social Security Number?
Yes. State and federal law require an SSN on the application. An ITIN or Canadian SIN cannot be substituted, so call 360-236-4700 if you do not yet have one.
Do I write my married name or my birth name in the legal name field?
Yes, use whichever name appears on your current legal document, meaning your birth certificate or your marriage certificate or court order. Using any other name may cause denial.
Do I list a DO license from another state under “Other Professional Licenses”?
No. DO and MD license data flow directly from state boards into the FSMB system. Entering it under “Other” creates a duplicate; email ua@fsmb.org for corrections.
Do I need to report a malpractice case that was dismissed?
Yes. You must report every claim and attach the final disposition, including dismissals. Omitting a dismissed case looks dishonest because the Board finds it independently.
Do I check “Limited License” if I am a resident training in Washington?
Yes. Residents in a Washington postgraduate program check Limited License (Postgraduate Program), and the program director must complete the Training Appointment Verification form.
Do I have to disclose a deferred or expunged criminal charge?
Yes. Question 5 covers deferred, suspended, and similar dispositions in any jurisdiction. The Department runs background checks on all applicants, so always disclose and attach certified court documents.
Do I order the AOIA report myself?
Yes. You request the American Osteopathic Information Association profile from aoaprofiles.org or 800-621-1773. The Board checks it for every applicant and cannot finish review without it.
Do I need a notary for the affidavit?
Yes. The UA Affidavit must be signed in front of a notary public, with your 2” x 2” photo attached. The signing date must match the notarization date.
Do I send my UA Affidavit to FCVS?
No. The UA Affidavit goes directly to the Washington Board. Sending it to FCVS will delay your licensure, since FCVS handles a separate affidavit.
Do I have to use FCVS to apply?
No. FCVS is optional. If you skip it, you arrange for transcripts, training verifications, and exam scores to be sent directly to the Board yourself.
Do I have to wait before I can start practicing?
Yes. Practice is not permitted until the license is issued. The Board recommends filing at least 60 days before your planned start date to allow time for verification and review.
Do I need to account for time I spent not working?
Yes. The Chronology of Activities must cover every month since graduation, including non-working time. Gaps are treated as missing information and trigger follow-up.
Do I have to verify a license I let go inactive?
Yes. Every healthcare license you have ever held, active or inactive, must be verified directly by the granting board, in the U.S. or Canada.
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