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Board of Physical Therapy
Applications & Forms

The below documents are in Microsoft Word format. If you do not have Microsoft Word, you can get the Microsoft® Word Viewer 97/2000 to view and print DHP's documents.

Examination:

Instructions for Licensure by Examination to Practice as a Physical Therapist or Physical Therapist Assistant - Graduate of an Approved Program

Instructions for Licensure by Examination to Practice as a Physical Therapist or Physical Therapist Assistant - Graduate of Non-Approved Program

Application for Licensure by Examination to Practice Physical Therapy

Form L - Proof of Professional Education

Endorsement:

Instructions for Licensure by Endorsement to Practice as a Physical Therapist or Physical Therapist Assistant - Graduate of an Approved Program

Instructions for Licensure by Endorsement to Practice as a Physical Therapist or Physical Therapist Assistant - Graduate of Non-Approved Program

Application for License by Endorsement to Practice Physical Therapy

Reinstatement:

Instructions for Reinstatement of a Physical Therapist or Physical Therapist Assistant License

Application for Reinstatement of Licensure

Continuing Competency:

Virginia Board of Physical Therapy Continued Competency Activity and Assessment Form

Traineeship Forms:

Traineeship Application - Graduates Awaiting Results of Licensure Examination

Traineeship Application - 1000 Hours

Traineeship Application - 480 Hours

480 Trainesship Completion Form

Direct Access Certification:

Instructions for Applying for Direct Access Certification

Application for Direct Access Certification

Patient Attestation Form

 

Board of Physical Therapy
Email: ptboard@dhp.virginia.gov

Lisa R. Hahn, Executive Director
George Maihafer, PhD, PT, President