The following materials are available upon request:
- Form for Filing a Complaint Against a Podiatrist
- Application for Additional Privileges - (requires TWO copies of completed application form, and TWO copies of surgery LOGS, HIGHLIGHTED with different colors for Ankle Surgery, Amputations, and/or Club Foot procedures)
- Request for Duplicate License Certificate or License Renewal Card (call, email or write Board Office)
- License Renewal Form with Disclaimer Form (If you wish to pay by credit card, you will need to log onto the licensee-only section of our website using your unique Login and Password. For assistance with this, contact the Board at (919) 861-5583 or info@ncbpe.org during regular working hours.)
- North Carolina Licensed Podiatrist Mailing List Request Form
- Public Records Request form
Requests should be made in writing and submitted to the following:
NC Board of Podiatry Examiners
3739 National Drive, Suite 202
Raleigh, NC 27612
Contact us here or Email info@ncbpe.org
(919) 861-5583