Professional Licensure Information

Indiana Licensure Resources

Information is provided below for out-of-state licensed professionals desiring to volunteer within their area of professional practice.

Helpful resources can be found at the Indiana Professional Licensing Agency website.

• Out-of-state physicians may obtain temporary medical permits by submitting an application for a Limited Scope Temporary Medical Permit.
• The cost of the permit is $100 and it is good for 30 days.
• The board advises that permits be obtained within 60 days of the event, after which they will hold applications and issue them within 30 days of the event.
• The application process is very fast once the completed application and supporting documentation is received. Please submit applications no earlier than February 20^th, 2020.
• Physicians are required to include a current passport quality photo taken within the last eight weeks.
• Physicians are also required to submit a notarized copy of their license in another state that shows their license number.
• Physicians are also required to submit an either an official copy of their medical school transcript (transcripts must come directly from the school in an unopened envelope) OR a notarized copy of their medical diploma.
• All copies must be submitted with a compulsory statement that “This is a true and correct copy of the said document.” Applications will not be processed without the accompanying statement.
• Please include a letter stating that you will be volunteering with the Your Best Pathway to Health 3-day charitable event at the Lucas Oil Stadium, beginning on April 8^th and request that your license be processed to allow for the 30-day window.

• The physician’s point of contact is Dawn Lewis. Email: licensing@ybpth.org; Phone number: 254-317-0381; Mailing address: Dawn Lewis c/o Suzanna Facundo 777 S. Burleson Blvd., Burleson, Texas 76028
• Completed forms and CVs may be emailed to Dawn Lewis, Credentialing Coordinator at licensing@ybpth.org
• or faxed to 817-447-2443 Attn: Suzanna- Visiting Physician Licensure

• Indiana Temporary Medical Permit

• Dentists and Hygienists may obtain volunteer permits to practice at Pathway Indiana.
• Once submitted and approved, the applications will remain valid for 60 days, so we are asking dental providers to begin the temporary license application by February 15^th
• Please ensure that applications are complete as failure to do so may risk not getting licensed in time for the event.
• Please note that the instruction sheet attached to the temporary license application contains information specific to a prior charitable event held at the Indiana Fairgrounds in 2017.
• Information about malpractice insurance provided by Pathway to Health will be emailed to dental professionals after completion of registration.

• Email: licensing@ybpth.org
• Phone: (254) 317-0381

• Application for a Limited Voluntary Charitable Permit for Dentistry or Dental Hygiene

• More information to come.

• As of July 2019, Indiana has passed legislation to participate in compact licensure agreements.
• As of this date the state has NOT set a date for implementation.
• Therefore, all nurses who wish to volunteer for Pathway Indiana must apply for full RN licensure.
• IF you have a compact nursing license, please continue to monitor Indiana licensure.
• Because there is a significant backlog in processing applications, nurses are encouraged to submit their applications as soon as possible.

• PTs and PTAs Must apply for full state licensure. 

Indiana licensure links for PTs and PTAs:

• https://www.in.gov/pla/3260.htm

• Pharmacists must apply for full licensure.

Indiana licensure links for pharmacy:

• https://www.in.gov/pla/pharmacy.htm

• PAs must apply for full licensure

Indiana licensure links for PAs:

• https://www.in.gov/pla/3059.htm

• Must have licensure by ARDMS. No state licensures are required for Ultrasound.

• More information to come.

• More information to come.