Licensed Certified Professional Midwives (LCPM)

Obtain additional information regarding an LCPM license

Obtain more information on how to apply for initial licensure, how to renew a license, or how to reinstate a license.

Annual Report - Pursuant to KRS 314.404(10) and 201 KAR 20:660, an LCPM shall file with the KBN an annual report on or before September 1 of each year for the period of July 1 through June 30 preceding.

Incident Form - Under Kentucky Law, KRS 314.404(11) and 201 KAR 20:660, Licensed Certified Professional Midwives (LCPM) must submit the incident form to the Board of Nursing within thirty (30) days of the occurrence of a case of newborn or maternal death attended by the LCPM at the discovery of death.

Document Upload - Upload documents or view documents already uploaded​

Locate the following forms in the KBN Document Library:

LCPM Informed Refusal Form

Address/Email Change Form for Licensed Certified Professional Midwives

Name Change Request Form for Licensed Certified Professional Midwives

Order a Certificate for Framing




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Obtain information about education to become an LCPM.

Validate the status of a LCPM through the Online Validation

Obtain information about how to file a self-complaint or complaint regarding the actions of an LCPM.

Obtain information about disciplinary monitoring.

Obtain information regarding laws applicable to your license, legal opinions, information on administrative hearings, and proposed regulations.

KRS 314.109 – Reporting a Criminal Conviction

Any person under the jurisdiction of the board shall, within ninety (90) days of entry of an order or judgment, notify the board in writing of any misdemeanor or felony criminal conviction, except traffic-related misdemeanors other than operating a motor vehicle under the influence of drugs or alcohol, in this or any other jurisdiction. The person shall submit a certified or attested copy of the order and a letter of explanation.

See also, 201 KAR 20:630

201 KAR 20:230 – Reporting Actions in Another Territory or Jurisdiction of the United States

Pursuant to 201 KAR 20:610, Section 1(6), the Board of Nursing may reprimand, deny, limit, revoke, probate, or suspend the license of an LCPM upon proof that the person has had a license revoked, suspended, denied, or otherwise disciplined in any other territory or jurisdiction of the United States.

KRS 314.108 – Reporting the Discipline, Termination, or Suspension of a Professional or Business License

(1) Any person licensed by the board shall, within thirty (30) days of the entry of a final order, notify the board in writing if any professional or business license that is issued to the person by any agency of the Commonwealth or any other jurisdiction is subject to disciplinary action. The person shall submit a certified copy of the order and a letter of explanation.

(2) An applicant for licensure shall notify the board in writing if any professional or business license that was issued to the person by any agency of the Commonwealth or any other jurisdiction is surrendered or terminated under threat of disciplinary action, or is refused, suspended, or revoked, or if renewal of continuance is denied. The person shall submit a certified copy of the order and a letter of explanation with his or her application.

Information regarding regulations concerning LCPM practice can be located in the KBN Document Library using the keywords Kentucky Administrative Regulations Governing LCPM Practice.

Information regarding the disciplinary process can be located in the KBN Document Library using the keywords KBN Investigation and Discipline Process Applicable to LCPMs.

The KBN Connection has featured the following articles on LCPMs: