OUT OF STATE PRACTITIONER VOLUNTEERS
- Please see the documents below that you need to fill out and return to the Louisiana State Board of Medical Examiners either via email or fax to apply for a temporary license. Please let us know when you have submitted the information to the Board so we may also send a letter from the NAFC supporting your request
. Additionally, please fax a copy of your license to 866-875-3827 or you may scan and email it to CARE@nafcclinics.org
.Special Event Permit Instructions 6 16 11NAFC NOLA CARE - Special Event Permit Application
Please contact firstname.lastname@example.org
for information on temporary licensure or if you have any questions, or visit http://www.lsbme.louisiana.gov/OUT OF STATE NURSES
- To apply for a temporary license to be able to participate in this event, please download a copy of the attached form, fill it out and fax the completed form, your license, and drivers license to 225-755-7581. Please also fax your license to 866-875-3827 or you may scan and email to email@example.com
Please note that this form may refer to Disasters, but will be utilized for this CARE Clinic volunteer event. Also please note that the NAFC must fill out the second page of the form to verify your participation, so please be sure to email it to CARE@nafcclinics.org and include "Out of State RN Application" in the subject line. Once both forms are completed and you gather the rest of the required documentation you can send to the LSBN.
For more information to check the status of your application, please visit www.lsbn.state.la.us
*Please note, as the board of nursing is currently working on forms for special events, they have asked that in the meantime we use the disaster permit form. Please ignore the statement requiring the registration with LAVA, this step is not necessary.DisasterPermitAffidavit
For Out of State APRNs
- please visit http://www.lsbn.state.la.us/Licensure,Renewals/AdvancedPracticeRegisteredNurse.aspx
and contact the LSBN staff at 225-755-7500 or firstname.lastname@example.org
for more information on how to apply for a temporary permit.