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Board of Physical Therapy
Applications & Forms

Criminal Background Checks

Effective January 1, 2020, the Virginia Board of Physical Therapy will implement fingerprint-based criminal background checks (CBCs) under Virginia Code Section 54.1-3484 through the Board contractor Fieldprint. This requirement will apply to all new or pending applicants as of January 1, 2020. Applicants will not be eligible to complete this requirement until the effective date. Please review the Board’s Frequently Asked Questions pertaining to this new requirement.

Please be aware that payments made in person to the Board office will not be processed until the next business day, with the exception of renewal payments received on the last day of the month.

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 documents.

Name and Address Change Form

Request for Verification of a Virginia Physical Therapist License

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

Application for Reinstatement of Licensure

Application for Reinstatement of Licensure after Disciplinary Action

Continuing Competency:

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

Continuing Education Credit Form for Volunteer Practice

Traineeship Forms:

Traineeship Application - Graduates Awaiting Results of Licensure Examination

Traineeship Application - 1000 Hours

Traineeship Application - 320 Hours

320 Traineeship Completion Form

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.

Direct Access Patient Attestation and Medical Release Form (revised May 1, 2018)

Click here to begin the online application process.