Forms
- Clinical Instructor or Mentor of a Fellow
- Complaint Form
- Course Sponsor Approval Application
- Duplicate Wall License Request
- Elected Position of Physical Therapy Organization
- Individual Course Approval (Licensees)
- Legal Name Change
- Mailing List Request
- Postgraduate Coursework Completion
- Pre-Application Determination
- Reactivation of Inactive License Application
- Reactivation Supervision Agreement
- Supervisory Request & Agreement Form
- Teaching an Approved Clinical/Preventative Course
- Verification of Licensure Request (for active licensees)
- Verification of Licensure Request (printable form)