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 20th, 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 8th 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
- 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 15th
- 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
- 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.
- APRNS must apply for full RN licenses.
- If the APRN has maintained national APRN certification they may serve as providers and do not have to fill out the Indiana APRN application.
- Volunteer APRNs will NOT have prescriptive authority unless they complete the full APRN license application and the application for prescriptive authority application.
- In addition, in order to receive prescriptive authority approval, the nurse would require the signature of a supervising physician and a practice location.
- PTs and PTAs Must apply for full state licensure.
Indiana licensure links for PTs and PTAs:
- Pharmacists must apply for full licensure.
Indiana licensure links for pharmacy:
- PAs must apply for full licensure
Indiana licensure links for PAs:
- Must have active ARRT license in Diagnostic Radiology in the US. State licensure applications in the state/s you will volunteer may be required upon application.
- Must have licensure by ARDMS. No state licensures are required for Ultrasound.
- More information to come.
- More information to come.