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Physician Initiated Profile Request

The FSMB Physician Profile is used by medical boards for licensure purposes. The report will be electronically submitted to the boards you designate. There is no fee for this request and you will receive an e-mail confirmation when completed.

If you are applying for licensure in one of the states that requires physicians to use FCVS (Federation Credentials Verification Service), you do not need to complete a Physician Initiated Profile Request. Your Report will be included in the FCVS Profile.

For more information about licensing boards that require FCVS please click here.

To submit your request please click here.