Out of State Professional Volunteers

PLEASE ALLOW 3-6 MONTHS FOR APPLICATION PROCESS

DENTAL VOLUNTEERS:

On December 7, 2012 a new regulation, implementing Business and Professions Code Section 901, went into effect. This regulation governs the requirements and procedures to authorize out-of-state dental practitioners with valid, current, and active licenses to participate in sponsored free health care events in California.

For additional information, please visit the Dental Board of California's website for more information.

MEDICAL VOLUNTEERS:

A person who is not licensed to practice medicine in California but who holds a current valid M.D. license or certificate in good standing in another state, district, or territory of the United States to practice medicine can volunteer to provide medical services at a sponsored free health care event.

An out-of-state M.D. cannot apply independently; each application must specify the event at which the M.D. wants to volunteer.

Note for California Licensees: A California licensed M.D. may volunteer to provide medical services at a free health care event if your California license is (1) renewed and current or (2) in a volunteer status. No further action is required before offering/volunteering services.

Application Process and Fees: An out-of-state licensed M.D. may request authorization to participate in a sponsored free health care event by submitting to the Board a completed "Request for Authorization to Practice Without a California License at a Sponsored Free Health Care Event," Form 901-B.

If the application is approved, the Board will notify both the out-of-state M.D. and the sponsoring entity that authorization has been given for the M.D. to participate in a specific free health care event; the authorization period may not be for more than 10 days.

An out-of-state M.D. must submit a new application and processing fee for each health event at which he or she wants to volunteer.

To apply for authorization, download this form. This completed form must be submitted by the out-of-state M.D. at least 20 calendar days prior to the sponsored event. The form must be submitted to:

Medical Board of California
ATTN: Licensing Program - Health Care Events
2005 Evergreen Street, Suite 1200
Sacramento, CA 95815

Every application form must be accompanied by payment of a non-refundable, non-transferable processing fee of $25.

NURSING VOLUNTEERS:

“Request for Authorization to Practice without a California License at a Sponsored Free
Health Care Event” Form 901-B (BRN/2011), which replaces the initially proposed form
901-B (09/2011).

Copies of this form are available upon request and are available on the Board’s website,
www.rn.ca.gov.