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Telemedicine Business Registry

Electronic Requests for License Verification

NOTE: This feature is for individuals who have registered with MY LICENSE and wish to pay the filing fee online with a credit card payment .

If you are not registered with MY LICENSE and would like information on how to register, please contact telemedicinebusinessregistry@alaska.gov

  1. Submit Your Request
    • Send your Request for License Verification to: telemedicinebusinessregistry@alaska.gov
    • Put the program along with your first and last name in the subject line.
    • The following information must be provided in the body of your email:
      • NAME: The name used when your professional license was last issued or renewed.
      • LICENSE NUMBER: Your professional license number.
      • SEND TO: Provide both the Board and/or Agency name along with a complete mailing address.
  2. Payment of Fees
    • You will be sent a notification email with a link to your license details page.
    • A “Make a Payment” link will be available within your license details page under “Actions”.
    • A $20 filing fee is required for each verification of license.
  3. Completed Request
    • You will be sent a notification email with a link to your license details page when the request is completed.
    • Please allow up to 10 business days for processing after submitting your payment.

If you prefer to submit a check or money order, you may mail in the Request License Verification form.

On June 21, 2016, Governor Walker signed in to law SB74, which immediately enacted the state’s new Telemedicine Business Registry. The Department of Commerce, Community, and Economic Development’s Professional Licensing Section established regulations for the telemedicine business registry, where the program is administratively housed and maintained. Included on this website, you’ll find applications pertaining to the Telemedicine Business Registry (TBR), a TBR informational packet, Frequently Asked Questions, and regulations relevant to this registry. All businesses engaged in or planning to engage in telemedicine services must register with our Department.

Please note, telemedicine and telehealth services are often used synonymously, however, the definition of telemedicine services is given in general government statute, AS 44.33.381 and is provided below for your reference:

"Telemedicine services" means the delivery of health care services using the transfer of medical data through audio, visual, or data communications that are performed over two or more locations by a provider who is physically separated from the recipient of the health care services. AS 44.33.381

If you provide telemedicine services to Alaska-based clients a valid Alaska business license is required. It is illegal to deliver telemedicine services in Alaska without an active Alaska Business License and Telemedicine Business Registration. To register with our Department, please provide your Alaska Business License number on the Telemedicine Business Registry License application. Applications for a business license may be obtained through the Business Licensing Section.

Applications

  • APPLICATION: Telemedicine Business Registration
    #08-4694, Rev 07/19/19.
  • CHANGE: Telemedicine Business Registration
    #08-4722, Rev 04/08/19.
  • REMOVAL: Telemedicine Business Registration
    #08-4727, Rev 04/08/19.

Click here to access the Telemedicine Business Registry
Select “Telemedicine Business Registry” under the Program drop-down menu

Click here to access the TBR Informational Packet

Other Information:

  • TBR regulations are included in Centralized Licensing Regulations [12 AAC 02.106 and
    12 AAC 02.600]:
    • Fees
    • Application for placement on the telemedicine business registry; changes of information

Contact Information

Please contact the following individual only for questions relating to applying for placement on the telemedicine business registry. Any licensure requirements or scope of practice questions must be directed to the appropriate licensing board. The list of boards and programs can be found here.

Lacey Derr, Licensing Examiner
Telephone: (907) 465-2694
Email: TeleMedicineBusinessRegistry@Alaska.Gov
Address: P.O. Box 110806
Juneau, AK 99811-0806