Forms The forms found throughout this site available for download are listed here for convenience: Retired Senior Volunteer Program (Information): Application for RSVP license Certification of free medical clinic Continuing medical education (Information): CME carryover hours worksheet (Information) Request for waiver from CME due to retirement (Information) Address and name change (Information)  Address change request Name change request Office based surgery (Information) Office based surgery registration form  Office based surgery adverse event reporting form Use of laser/pulsed light devices/other modalities (Information) Laser/pulsed light device procedures registration form  Laser/pulsed light device procedure adverse event reporting form Collaborative practices (Information) Notification of Commencement of Collaborative Practice Notification of Termination of Collaborative Practice  Chart Review Audit 1 Chart Review Audit 2  Chart Review Audit 3  Chart Review Audit 4  Chart Review Audit 5 Miscellaneous Application for replacement of lost or destroyed license (Information) Malpractice payment report form for insurance companies (Information) Dispensing physician registration form (Information)