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Board of Physical Therapy
Applications & Forms

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Name and Address Change Form

Request for Verification of a Virginia Physicial Therapist License (revised 02/18/2016

Examination:

If you have been licensed for less than one year in another U.S. jurisdiction, you will need to apply for licensure by examination.

Applications for Physical Therapist License by Examination and Physical Therapist Assistant License by Examination are now accepted online.

Please read the instructions below before begining the application process:

Instructions for Physical Therapist and Physical Therapist Assistant by Examination

Instructions for Physical Therapist and Physical Therapist Assistant by Examination (Non-Approved Programs).

Click here to download the Educational Authorization Form.

Click here to begin the online application process.

Endorsement:

If you have been licensed for less than one year in another U.S. jurisdiction, you will need to apply for licensure by examination.

Applications for Physical Therapist License by Endorsement and Physical Therapist Assistant License by Endorsement are now accepted online.

Please read the instructions below before begining the application process:

Instructions for Physical Therapist and Physical Therapist Assistant by Endorsement.

Instructions for Physical Therapist and Physical Therapist Assistant by Endorsement (Non-Approved Programs).

Click here to begin the online application process.

Reinstatement:

Instructions for Reinstatement of a Physical Therapist or Physical Therapist Assistant License (revised 11/07/2014)

Application for Reinstatement of Licensure (revised 4/07/2017)

Application for Reinstatement of Licensure after Disciplinary Action (revised 04/07/2017)

Continuing Competency:

Virginia Board of Physical Therapy Continued Competency Activity and Assessment Form (revised January 2015)

Traineeship Forms:

Traineeship Application - Graduates Awaiting Results of Licensure Examination (revised 09/06/2013)

Traineeship Application - 1000 Hours (revised 02/20/2014)

Traineeship Application - 160 Hours (revised 10/8/2014)

Traineeship Application - 320 Hours (revised 02/21/2014)

320 Traineeship Completion Form (revised 07/15/2013)

160 Traineeship Completion Form (revised 02/28/2014)

Direct Access Certification:

Applications for Direct Access Certification are now accepted online.

Please read the instructions below before begining the application process:

Instructions for Direct Access Certification by Transitional Doctorate applications.

Instructions for Direct Access Certification by Experience applications.

Click here to download the Patient Attestation Form (revised 10/30/2015)

Click here to begin the online application process.