Application Forms

Our processing technicians can provide assistance to you and any individual you authorize us to speak to on your behalf throughout the licensing process. In order to facilitate your contact with the office, please direct inquiries to

Physical Therapist Exam
Physical Therapist Reciprocity
Physical Therapist Assistant Exam
Physical Therapist Assistant Reciprocity

Inactive Physical Therapist License

If you would like to place your license in an inactive status, please complete the Inactive Licensure Status form. To have your license switched back to active status, you will need to complete the Inactive Reinstatement Application. If your license has lapsed due to non-renewal, a different application needs to be completed.

Inactive Licensure Status
Inactive Physical Therapist Reinstatement Application
Inactive Physical Therapist Assistant Reinstatement Application