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applications and forms

 

APPLY ONLINE for the following license types:

Physical Therapist
Physical Therapist-Direct Access Authorization
Physical Therapist Assistant
Physical Therapist Assistant-Indirect Supervision
Temporary Physical Therapist
Temporary Physical Therapist Assistant

 

To download a paper application, click on the link below:

 

INITIAL APPLICATIONS

Continuing Education Course Approval Application - Individual (PDF) 

Continuing Education Course Approval Application - Sponsor (PDF)

 

OTHER FORMS

Reactivation - PT and PTA (PDF) 

Reactivation - Direct Access Certificate (PDF)

Name and/or Address Change

 
 
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