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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
Reactivation Expired/Inactive PT, PTA and Direct Access

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)

Reactivation Applications

The reactivation application has been moved to an online process. To review the requirements and submit your reactivation application online, login to your account at and click the pencil icon next to your license number.


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