Forms & Fees
Application for License/Registration/Permit - Online Licensing Database & Services
To make application for a license, registration or permit, please visit the Board's online licensing database. After logging in to your personal account, you may make application for a new license or renewal, submit a change of address, and make a number of other requests online. Payment may be made by credit card, or check/money order. The online shop also allows you to purchase and request a number of items online.
Please be aware of the following:
- Applications submitted on paper may take 4-6 weeks longer to process than applications submitted electronically through the online licensing database.
- Applications and other requests are not considered complete until the appropriate fee(s) have been received.
- In order for CPR certification to be accepted for the purposes of initial application and renewal, the CPR course must be a nationally-recognized course that includes a clinical, "hands-on" portion. Online-only certification courses are not acceptable pursuant to Iowa Administrative Code 650.
For information about the fees charged for applications, renewals, reinstatements, verifications and other services follow this link.
|Approved Testing Sites|
|Change of Address/Name||Online|
|Order Form - Purchase a Data List or Mailing List|
|Order Form - Trainee Manual, certificates, cards, written certification, printed copies of Board rules and Iowa Code|
|Public Health Supervision Forms||Online|
|Sample Lab Prescription and Point of Origin Form|
|Sign Up for Board Notices via E-Mail||Online|
|Website Feedback Form||Online|
|Infection Control Inspection Form|
|IPRC Self-Report Form|
|Malpractice Report Form|
Continuing Education Forms
Most of the forms above are in PDF and require Adobe Reader to view. If you do not have Adobe Reader, you can download that software at the Adobe website. Other forms are viewable in your web browser.