Now Live: Easier Online License Applications!
LicensE, our new, online, self-guided occupational license application platform is now live! The list of licenses available via LicensE plus user guides and other resources are available
HERE. Anyone applying for an initial license for any of the credentials listed can apply at license.wi.gov.
LicensE is for new, initial applications only. To renew your license, click HERE.
License Information
Per
Wis. Stat. § 440.08(2), the required renewal date for the Anesthesiologist Assistant credential is 09/30/even years. Should you receive your initial credential in the months leading up to this date, you are still required to renew your license by the statutorily defined date.
Licensure is required for any person who practices as an anesthesiologist assistant, who holds themselves out as one authorized to practice as an anesthesiologist assistant or who uses the letters “A.A.” or any other designation that tends to represent the person as an anesthesiologist assistant.
Temporary Licensure
Temporary licenses are available to applicants who are eligible to take, but have not passed the national exam. The Board may grant a temporary license once the application for licensure Form 2976, request for temporary license
Form 2979 and fees are received by the Department.
A temporary license expires on the date on which the board grants or denies an applicant permanent licensure or on the date of the next regularly scheduled examination required under
Wis. Stat. § 448.05(6) if the applicant is required to take, but has failed to apply for, the examination.
Pre-Credential Education Information
A bachelor’s degree and satisfactory completion of an anesthesiologist assistant program that is accredited by the Commission on Accreditation of Allied Health Education Programs (or by a predecessor or successor entity).
Application for Licensure
| Form | Description |
|---|
|
2976 | Credentialing Information for Anesthesiologist Assistant Applicants
|
3217
| Application for Fee Reduction (If applying for a fee reduction, this form
must accompany Form #2976.)
|
|
2977 | Anesthesiologist Assistant Certificate of Professional Education |
|
2975 | Request for National Examination Scores |
|
2979 | Request for Temporary License for Anesthesiologist Assistant |
|
2829 | Malpractice Suits or Claims Form (if applicable) |
| 3085 | Application for Predetermination
(Optional-Submit ONLY if you have been convicted of any felony, misdemeanor, or other violations of federal or state law in this state or any other and you desire a review of your conviction record before applying for a credential.) |
|
2252 | Convictions and Pending Charges |
|
3071 | Fax Payment Form |