Get Order Form Duplicate Wallet Id Card - Medicalboard Georgia

Filling out the Order Form Duplicate Wallet ID Card for the Georgia Composite Medical Board is an essential process for those in need of a duplicate identification card. This guide will provide clear, step-by-step instructions to help users complete the form accurately and efficiently online.

Follow the steps to successfully fill out your order form.

1. Click ‘Get Form’ button to obtain the order form and open it for editing.
2. Begin by entering your name and license number in the designated fields to verify your identity.
3. Indicate whether this is a new or corrected name by selecting 'Yes' or 'No' as appropriate.
4. Choose your license type from the provided list. Ensure you select only one option that reflects your professional designation.
5. Enter the amount of $25 in the corresponding field to indicate your payment for the duplicate card.
6. Provide your mailing address, ensuring you include the street address, city, state, and zip code. If you have both a mailing address and a practice address, specify which one should be printed on your card.
7. Fill in your email address and contact telephone number for any follow-up communication regarding your application.
8. Review all provided information for accuracy and completeness before proceeding to submission.
9. Once all sections are filled out, save your changes, and prepare to print your completed form. Submit this form along with the payment to the Georgia Composite Medical Board at the specified address.

Complete your Order Form Duplicate Wallet ID Card online today.