Osteopathic Physician and Surgeon Certificate

Forms

To apply for an Osteopathic Physician and Surgeon Certificate, an applicant must have:

Received their education and graduated from an osteopathic medical school accredited by the American Osteopathic Association’s Commission on Osteopathic College Accreditation (COCA). https://osteopathic.org/accreditation/
Received 12 months (1^st year) postgraduate training credit from an AOA/ACGME Program. Reflecting completion of at least four months of general medicine, where there was direct patient care responsibility.
Completed all three (3) levels of the National Board of Osteopathic Medical Examiners (NBOME) Comprehensive Osteopathic Medical Licensing Examination of the United States (COMLEX-USA). CCR Title 16 Section 1611 (d)

To complete the application process, the Osteopathic Medical Board of California (Board) must receive the items below. Contact the appropriate program or organization to proceed with the items you are not responsible for submitting:

Request submission of official medical school transcript from each medical school attended. The Transcript must be prepared on the university letterhead affixed with the signature of the dean or registrar and the medical school seal, documenting all the basic science and clinical courses completed during the medical curriculum. (DO NOT request duplicate copy if you hold a PTL)
Remit a copy of your medical school diploma that is legible and shows all seals and signatures. You may either attach a copy at time of application submission online or request that your osteopathic colleges transmit a copy to the office on your behalf. (DO NOT submit duplicate copy if you hold a PTL)
The AOA/ACGME Postgraduate Training program must submit a completed Certificate of Completion of AOA/ACGME Postgraduate Training (OMB. 25) directly to the Board by mail or by email. This form is mandatory and cannot be substituted.
Comprehensive Osteopathic Medical Licensing Examination of the United States (COMLEX-USA) Score. You are required to log into your National Board of Osteopathic Medical Examiners (NBOME) account and authorize the release of your COMLEX-USA scores.
Regardless of the status, individuals who have been licensed, certified, or otherwise registered in another State as an Osteopathic Physician and Surgeon are required to request a verification.
Business and Professions Code section 144 requires applicants to complete a criminal history background check by submitting a full set of fingerprints and the fingerprint processing fees established by the Department of Justice (DOJ) and the Federal Bureau of Investigation (FBI). You are required to submit fingerprints for the Board to complete a criminal history background check, even if you were previously fingerprinted for another California employer or regulatory body. (DO NOT request duplicate clearances if you hold a PTL)

If living in, or visiting California, please fulfill this requirement by completing a Request for Live Scan Service form (PDF) before visiting an authorized Live Scan operator. Applicants are responsible for paying for all Live Scan fees at the time of service. The Board will not accept a Live Scan completed in another state. Typically, the results of the Live Scan are transmitted electronically to the Board within 1-3 business days.

If you live outside of California and cannot access a Live Scan site in this state, you will need to complete your criminal history background check using the hard card fingerprint method.

Send a message to the Board to obtain two (2) fingerprint cards (FD-258). When submitting requests, please include your name and address. Fingerprint cards are typically mailed within 1-3 business days.
Visit a local law enforcement agency or agency authorized to provide fingerprint rolling services. The fingerprint impressions must be distinct from each other as the DOJ and/or FBI may reject fingerprint cards containing identical impressions.
Be sure to include a check, cashier’s check, or money order payable to the California Department of Justice for $49.
Mail one (1) completed fingerprint card to the Department of Justice for processing which can take approximately three to six weeks. Do not fold the cards:

California Department of Justice
P.O. Box 903417
Sacramento, CA 94203-4170

You are personally responsible for all information disclosed on your application, including any responses completed on your behalf. An application may be denied based upon falsification or misrepresentation of any item or response on the application or any attachment.

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