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BPHTE : forms


Forms & Applications


For Applicants

Application for Physical Therapist/Assistant Licensure

Applicant Special Accommodations Request Form

Exam Questionnaire

Out-of-State Verification Form

Oral Competency Certification

Criminal History Records Check


For Licensees

Application for Physical Therapy Professional Service Corporation Name Approval

Application for Reinstatement of Physical Therapist/Assistant Licensure


For Consumers

Complaint Form


For CEU Sponsors
All entities seeking CEU course approval must remit the required fees.  
There is no exception for school systems or educational institutions.

CEU Course Approval Application