Telemedicine Registration Application

Effective July 1, 2002, the telemedicine law takes effect requiring physicians who are practicing telemedicine and are not licensed to practice medicine in Minnesota to register with the Minnesota Board of Medical Practice. There is a $100 application fee and a $75.00 annual fee including 10% e-Licensing surcharge. Registration is renewed annually based on a calendar year. To be eligible for telemedicine registration, a physician must be licensed in the state from which telemedicine services are provided and must not have ever had a license to practice medicine revoked or restricted in any state or jurisdiction.

Print application, complete, mail with $175.00 fee to:

Minnesota Board of Medical Practice
335 Randolph Ave. Suite 140
St. Paul, MN55102

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Minnesota Board of Medical Practice
335 Randolph Avenue, Suite 140
St. Paul, MN 55102
Main Telephone Number: 612-617-2130
Fax Number: 612-617-2166
E-mail: Medical.Board@state.mn.us
Details and Directions

Information on this website is available in alternative formats to individuals with disabilities. To request information in an alternative format, contact 612-548-2158 or Medical.Board@state.mn.us