Please note: To help ensure your privacy, only the last four digits of your social security number are required in the forms below.
Professional Licensure Applications and Guidelines
This page has been automatically translated from English. MSDH has not reviewed this translation and is not responsible for any inaccuracies.
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Last reviewed on May 1, 2017
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Art Therapist - Application Packet
Information, Application and Verification Forms
- Athletic Trainer - Application Packet
- Dietitian - Application Packet
- Dietitian - Letter of Supervision
- Eye Enucleator - Application Packet
- Hair Braiding Application Packet
- Hearing Aid Specialist - Application Packet
- Hemodialysis Technicians - Application Packet
- Medical Radiation Technologist - Application Packet
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Occupational Therapist & Occupational Therapist Assistant - Application Packet
Information, Application and Verification Forms
- Respiratory Care Practitioner - Application Packet
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Speech-Language Pathologist/Audiologist - Application Packet
Information, Application and Verification Forms
- Speech-Language Pathologist/Audiologist Aide - Application Packet
- Tattoo/Body Piercing Artist - Application Packet
- Tattoo/Body Piercing Artist - Consent Form
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Mississippi State Department of Health • 570 East Woodrow Wilson Dr • Jackson, MS 39216 • 866-HLTHY4U • Contact and information
