Petition for Review of Criminal History

A person with a criminal history may submit a petition to the Nevada State Board of Medical Examiners requesting a preliminary determination regarding whether the criminal history will disqualify the person from obtaining a license. Please click on the link provided below for the request form. Send the completed form, along with documentation of the criminal history, to the Chief of the Licensing Division, via fax (775-688-2551) or U.S. mail (9600 Gateway Drive, Reno, NV 89521).

Petition for Criminal History Eligibility Determination 

You will receive a determination within 90 days of submission.