The documents submitted must be legible and no larger than 8
1/2" x 11". All documents and photographs will be retained by the Board as a
permanent part of the application file. If original documents are larger than 8
1/2" x 11", the copies must be reduced to the correct size with all wording and
signatures clearly shown. Official translations are required for documents
issued in a foreign language. The following documents are required:
(1) Application: Completed formal application
provided by the Board. Required dates must include month, day and year.
(2) Birth Certificate: A copy of
birth certificate.
(3) Doctor of
Podiatric Medicine Diploma: A copy of a diploma showing graduation from a
school of podiatry.
(4)
Photograph: A close-up, color, passport quality photograph, front view, head
and shoulders (not profile), with features distinct, taken within 90 days
preceding the filing of the application.
(5) The results of a Practitioner Self-Query
from the National Practitioner Data Bank sent directly to the Board by the
applicant.
(6) Legible
fingerprints as described in
847-008-0068 for the purpose of
a criminal records background check.
(7) An open-book examination on the Medical
Practice Act (ORS chapter 677) and Oregon Administrative Rules chapter 847. If
an applicant fails the examination three times, the applicant must attend an
informal meeting with a Board member, the Executive Director, a Board
investigator or the Medical Director of the Board to discuss the applicant's
failure of the examination, before being given a fourth and final attempt to
pass the examination. If the applicant does not pass the examination on the
fourth attempt, the applicant may be denied licensure.
(8) Any other documentation or explanatory
statements as required by the Board.
Notes
Or. Admin. Code
§
847-080-0013
ME 6-1986, f. & ef.
4-23-86; ME 17-1987, f. & ef. 8-3-87; BME 17-2007, f. & cert. ef.
7-23-07; OMB 20-2013, f. & cert. ef. 7-12-13;
OMB
14-2016, f. & cert. ef.
10/7/2016
Stat. Auth.: ORS
677.265 &
677.820
Stats. Implemented: ORS
181.534,
677.820,
677.825 &
677.830
