Application & Instructions for Initial Licensure - Polysomnography Reinstatement

CLICK HERE TO BEGIN THE ONLINE APPLICATION PROCESS

To access a paper application, click HERE (available for a limited time)

The items listed below MUST be completed and mailed to the LSBME as part of the initial application process.

The Board may issue a license which has expired to a polysomnography technologist for reinstatement provided that application for reinstatement is made within four years of the date of expiration.

Fees - must be paid via credit/debit card. Fees must be submitted with application and are non-refundable.

0-2 Years $150

2-4 Years $225

Current copy of BLS card

Current certification thru BRPT/ABSM

10 hours of CEU’s for each year that license expired

  • 10 for 0-1 year

  • 20 for 0-2 years

  • 30 for 0-3 years

  • 40 for 0-4 years

Verification of License in Other States - When possible, the LSBME staff will verify these licenses; not all states allow this.  In such cases, you will be notified via email.  Contact the state(s) before mailing the form as there may be a processing fee needed.

Other Information

Verification of Application/Licensure Status - Visit our website at 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 Candis Ledet at (504) 568-1083, cledet@lsbme.la.gov.

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.