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If you have ever been found guilty of or had adjudication withheld for, or pled guilty or nolo contendere (no contest) to a crime in any jurisdiction other than a minor traffic offense, submit the following for each conviction:
- Written self-explanation describing in detail the circumstances surrounding the arrest and conviction.
- Arrest records from the arresting jurisdiction.
- Final disposition of the case.
- Documents showing completion of sentence (probation, parole, sanctions, fines, etc.).
If arrest, disposition, or completion of sentencing records are unavailable, the clerk of courts or other agency responsible for those records may submit documentation attesting to the unavailability of those records.
Failure to disclose criminal history on your application that impacts the practice of medicine or your ability to practice medicine with reasonable skill and safety may result in the denial of your application for licensure.
Some criminal history may require a review by the Chair of the Council on Physician Assistants to determine whether a personal appearance is required at a council meeting. If you are required to appear, you will be notified in writing by Board staff within 30 days of the scheduled meeting.