Log in to LaMED DashBoard to begin a new online initial application, complete a previously started (and saved) online initial application or to check the status of your completed online initial application.
The items listed below MUST be completed and mailed to the LSBME as part of the initial application process.
Oath or Affirmation
All yes answers must be accompanied by a sworn affidavit. A sworn affidavit is an explanation (in applicant’s own words) that must be typed and notarized. Note: If criminal history is found that you did not disclose, you will be required to submit a new Oath or Affirmation, a notarized affidavit as to why you did not disclose the information and a new processing fee equal to the initial licensure fee. It is important that you answer question 3 accurately and truthfully. Do not take the advice of friends, lawyer, etc.
Third Party Authorization
This form must be notarized. It authorizes LSBME to obtain information concerning the applicant from third parties.
Background Check - NOTE: If you are a physician on a current LSBME training permit, you do not need to do another background check when applying for full licensure. LSBME conducts background checks as part of the application process. Instructions and forms can be found at the link above.
A. To be eligible for certification as an Acupuncturist Detoxification Specialist, an applicant:
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Shall be at least 21 years of age;
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Shall be of good moral character;
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Shall have successfully completed a four-year course of instruction in a high school or its equivalent;
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Shall be a citizen of the United States or possess valid and current legal authority to reside and work in the United States duly issued by the commissioner of the Immigration and Naturalization Service of the United States under and pursuant to the Immigration and Nationality Act and the commissioner's regulations;
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Shall have:
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successfully completed NADA training by a registered NADA trainer; and
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current certification by the NADA
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Shall affirm that he or she shall only provide acu detox under the general supervision of a physician or licensed acupuncturist.
B. The burden of satisfying the board as to the qualifications and eligibility of the applicant acupuncture detoxification specialist, proposed supervising physician or proposed supervising licensed acupuncturist assistant shall be upon the applicant, proposed supervising physician or proposed supervising licensed acupuncturist, who shall demonstrate and evidence such qualifications in the manner prescribed by, and to the satisfaction of, the Board.
Checklist- submit the following in one packet
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Original or certified copy of high school diploma.
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NADA certificate
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Criminal Background Check Materials (see below)
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A detailed description of the proposed supervising PHYS/AcA’s professional background and specialty, if any; the nature and scope of his practice; the geographic and demographic characteristics of his practice
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A description of the proposed supervising PHYS/AcA’s knowledge of and prior training or experience, if any, in traditional Chinese acupuncture
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A description of the specific activities to be performed by the applicant, the way in which the applicant will be utilized as an acupuncture detoxification specialist, and the methods to be used by the proposed supervising PHYS/ACA to insure responsible direction and control of the activities of the applicant as an acupuncture detoxification specialist.
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See discussion of birth certificates and passports herein.
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Criminal Background Check Materials.
Additional Requirements
Fees
Fee must be paid via credit/debit card (Visa, MasterCard or Discover only)
Fee is non-refundable.
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Licensure- $50
Birth Certificate/Valid Visa
- U.S. citizen - submit a notarized or certified copy of your birth certificate.
- U.S. citizen not born in the U.S. - submit a notarized copy of your certificate of citizenship, consular report of birth abroad or certificate of naturalization.
- Non-U.S. citizen - submit a notarized copy of current proof of citizenship. Acceptable forms of citizenship are an H1B Visa, J1 Visa, O1 Visa, TN Visa, Permanent Resident card or Employment Authorization card.
- Louisiana law (LA RS: 37.12) requires a valid permit to live and work in the United States to practice medicine.
- J1 Visas are structured for training and educational purposes only. The typical sponsor for a Medical Doctor’s J1 Visa is the ECFMG. A J1 visa is not for employment outside of a formal training program.
- H1B Visas are intended for those who are performing a specialized service or occupation. These Visas are usually sponsored by hospitals or a particular employer.
- The LSBME works with the United States INS to grant interlocking letters to obtain an effective date for the H1B Visa. The effective date of the Visa will be the effective date of the Louisiana license or permit issued by the LSBME.
- The applicant’s employer usually needs a valid LSBME license to complete the credentialing process for hospitals, insurance companies, and professional liability insurers. Therefore, the licensure applicant should work with the United States INS Visa sponsor to set the effective date for the Visa.
Marriage Certificate/Name Change
Application for licensure in a name other than what appears on the birth certificate requires a notarized copy of official documentation of name change (ie marriage certificate).
Notarization as a “true copy”
Request the notary to certify a copy of your birth certificate and/or marriage certificate as a “true and correct copy of the original”. If the notary will not certify the document, you can attest that it is a “true and correct copy of the original”. The notary can then notarize your signature.
Verification of Licenses in Other States
Verification of state licenses are required. Contact the state board(s) directly to obtain verification of your license. Please note, there may be a processing fee needed.
Other Information
Verification of Application/Licensure Status - Visit our website www.lsbme.la.gov and log on to your account to verify the progress/status of your application.
Communication with the Board
Mailing Address - LSBME, 630 Camp Street, New Orleans, LA 70130
Questions - Contact our licensing department at licensing@lsbme.la.gov. To find the analyst directly assigned to your application, click on Contact Us.