Board of Medicine Forms and Documents
Documents and forms issued by the Board of Medicine.
- Physician Change of Address Form
- Malpractice Claim Form
- Physician Assistant Change of Address Form
- Physician Assistant Supervisory Form
- Verification of License Form
To Request a Verification of a New Hampshire Medical License:
For a written verification, please send a request for verification of license, along with the required $20.00 fee, check made payable to Treasurer, State of New Hampshire, to the NH Board of Medicine, Office of Professional Licensure and Certification, 7 Eagle Square, Concord, NH 03301. Please include the address to send the verification to.