Podiatrist

​Additional Resources

Other Forms

Statutes and Administrative Code

Continuing Education Information

Exam Information

Offenses that May Result in Refusal, Bar, or Termination of Licensure

Related Links

Podiatry Affiliated Credentialing Board

Orders and Disciplinary Actions

Conviction Self Report

Professional Assistance Procedure

Monitoring

File a Complaint

Wisconsin Emergency Assistance Volunteer Registry (WEAVR)

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​​​ ​​​​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 is available HERE​.  Starting on May 16, 2022, those applicants can apply at license.wi.gov.​

LicensE is for new, initial applications only. To renew your license, click HERE. You should not use LicensE to renew your license at this time.​


For additional information, please see the LicensE User Guides and Video page. ​Check back for updates, FAQs, and application tips.

License Information

Per Wis. Stat. § 440.08 (2), the required renewal date for the Podiatrist credential is 10/31/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.


Pre-Credential Education Information

Graduate from an approved school. The board recognizes as approved those podiatric medical schools recognized and approved at the time of the applicant's graduation by the Council on Education of the American Podiatry Medical Association.


Application for Licensure

Application by Endorsement of Exam Scores or Late Renewal (License Expired five (5) Years or more)

FormDescription
575Credentialing Information for Licensure to Practice Podiatric Medicine and Surgery Applicants
​3217​Application for Fee Reduction (If applying for a fee reduction, this form must accompany the application for the credential.)
2480Certificate of Post-Graduate Training
1921Certificate of Professional Education
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.)
2252Convictions and Pending Charges
3071​Fax Payment Form
​2700​Podiatrist Malpractice Liability Form (annual notification required)
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Application for Locum Tenens

FormDescription
1915Credentialing Information for Locum Tenens Licensed to Practice Podiatric Medicine and Surgery Applicants

Application for Temporary Education License

FormDescription
2153
Credentialing Information for Temporary Educational License to Practice Podiatric Medicine and Surgery Applicants
​3208​Temporary Educational License - Affidavit of Hospital Authority
​3024
Credentialing Information for Renewal of Temporary Educational License Applicants​

Renewal Information 

Requirements

  • FEE (See Renewal Dates and Fees)
  • SIG (Signature regarding the completion of Continuing Education, included in on-line renewal and paper form see Continuing Education Information for details)
  • If your legal status as a qualified alien or nonimmigrant lawfully present in the United States has changed since the issuance of your credential or your last renewal, please contact the Wisconsin Department of Safety and Professional Services at (608) 266-2112 or dsps@wisconsin.gov.

Renewal Methods

FormDescription
RDAFRenewal Dates and Fees
R210Active Duty/Discharge Renewal Extension
​2254​
​Convictions and Pending Charges

Wisconsin Act 210 (effective June 1, 2012) 

This Act extends the license of a service member if the license expires while they are on active duty from 90 days to 180 days from the date of discharge. The same applies to a spouse of a service member if the spouse does not practice under their license while the service member is on active duty and does not practice because the service member is on active duty.

This Act repeals a provision of prior law that required a service member to meet all of the requirements for license extension or renewal, except for continuing education requirements, in order to have the license extended.

Service members and spouses may request extensions of licenses beyond 180 days from discharge and may request a waiver or extension of time to complete continuing education requirements due to hardship. Please view Active Duty/Discharge Renewal Extension Form #R210 for further information.