Physical Therapist and Physical Therapist Assistant

Applications and Forms

Apply online

• Physical Therapist and Physical Therapist Assistant Apply Online

Apply on paper

The following forms are required for completing the application process. Please download and print forms.

Initial licensure

• License Application for Physical Therapist or Physical Therapist Assistant (PDF)
  • Jurisprudence Exam
• Interim Permit (PDF)
• Score Transfer Request (PDF)
• Tips for applying to be a physical therapist (PDF)
• Tips for applying to be a physical therapist assistant (PDF)
• Credential Verification (PDF)

Endorsements

• Verification of Electroneuromyographic Training (PDF)
• Verification of Mentored Sharp Debridement (PDF)
• Spinal Manipulation Endorsement (PDF)
• Approved certifications for spinal manipulation — clinical supervisor (PDF)

Expired and reactivation of licensure

• Physical Therapist expired Credential Reactivation Application (PDF) (use if your license has been expired for more than one year)
• Physical Therapist Assistant Expired Credential Activation Application (PDF)

Additional forms

• Continuing Education Requirements (PDF)
• Employment Verification (PDF)