Federation Disciplinary Inquiry - oregon 2026

1. Click ‘Get Form’ to open the Federation Disciplinary Inquiry in the editor.
2. Begin by selecting your professional designation (MD, DO, PA, or DPM) from the provided options.
3. Fill in your last name, first name, and middle name in the designated fields. If you have other names you’ve been known by, include them as well.
4. Enter your street address, city, state, and zip code accurately to ensure proper correspondence.
5. Provide your date of birth and place of birth in the respective fields for identification purposes.
6. Indicate the medical or physician assistant school you attended along with its address and your graduation date.
7. Lastly, input your Social Security Number carefully before reviewing all entries for accuracy.
8. Once completed, save your form and follow the instructions to submit it directly to the Oregon Medical Board at the specified address.

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