This application is for new HIS registrations only.

Existing HIS registrations that are currently active and nearing their expiration date and registrations that are within three years after their expiration date are renewable. If you already have an HIS registration that is in need of renewal, please visit the Forms and Applications page of CSLB’s website or call CSLB at (800) 321-CSLB (2752) to request a renewal form for your registration.

If your previously-issued HIS registration was cancelled or revoked and you now wish to reestablish it, you must submit this application to apply for a new registration.