How to Renew Your License

  1. Visit the Office of Diversion Control's site for the Renewal Application and select the appropriate application.
  2. Fill in the appropriate clinical site address. (See below for HMC or both UWMC campuses.)
  3. Check the box for Exemption from Payment and provide information regarding Responsible Individual. (See below for HMC or both UWMC campuses.)
  4. Immediately upon receiving your updated DEA, send a:
    a)  Hard copy via campus mail to GIM Box 359780
    b)  PDF copy via email to Pearlie Tapang Quint at pearliet@uw.edu
    c)  PDF copy via email to OMSA at omsa@uw.edu

Please note, these instructions apply only to faculty with the Division of General Internal Medicine. If you are with another Division, the process may be different. Consult your Division Administrator for more information.

Application Information by Site

Please use the following information when completing the online application (Steps 2 & 3 above).

HMC
Clinical Site

Harborview Medical Center – GIM
325 Ninth Avenue, Box 359780
Seattle, WA 98104

Exemption from Payment
Check the box for Exemption from Payment and use the following information for the Responsible Individual, which must be one of the hospital medical directors. 

Responsible Individual for HMC
J. Richard Goss, MD, Medical Director
325 9th Ave, Seattle, WA 98104
206-744-3134

meddirec@uw.edu

UWMC – Montlake AND Northwest
Clinical Site

University of Washington Medical Center
1959 NE Pacific, Box 356429
Seattle, WA 98195

Exemption from Payment
Check the box for Exemption from Payment and use the following information for the Responsible Individual, which must be one of the hospital medical directors. 

Responsible Individual for UWMC – Montlake AND Northwest
Thomas Staiger, MD, Medical Director
206-598-6600