I'm not going to readily agree with your initial assumption -- that you need to disclose any mental health problem to your medical board to get licensed. Each state is different, and hence the rules will be different for each. Since I'm from New England, let's choose Massachusetts to look at since it tends to be seen as one of the "most strict" states in NE to get a license from. The questions on the application are these: The instructions state: So, looking at these rules: 1. If you take an SSRI for depression, or if you get counseling regularly, as long as it doesn't affect your ability to practice medicine, doesn't need to be reported. 2. If you hear voices telling you to kill people, even if you're on medication which keeps it under control, you should probably report that. 3. Between those two extremes, there's a lot of gray area. Whether or not to report will depend on how old the problem is, whether it required a leave of absence, and whether it affected your training. To answer your questions: 1. You are not required to release your records. You need to explain what the problem was and what was done about it. It's possible that the board will request more information, and then you'll need to balance your need for privacy against the board's need for information. 2. The board can request that you meet with them in person. Some boards do this all the time, some very rarely. 3. Only if you're impaired 4. No, not that I know of.