Appendix 9998. FORMS (18VAC112-20)

Application for Licensure by Examination to Practice Physical Therapy as a Physical Therapist or Physical Therapist Assistant (rev. 1/11)

Application for Licensure by Examination to Practice Physical Therapy as a Physical Therapist or Physical Therapist Assistant (rev. 1/11)

Application for Reinstatement to Practice Physical Therapy as a Physical Therapist or Physical Therapist Assistant (rev. 1/11)

Instructions - Licensure by Endorsement to Practice as a Physical Therapist or Physical Therapist Assistant (Graduate of an American/Approved Program) (rev. 1/11)

Instructions - Licensure by Endorsement to Practice as a Physical Therapist or Physical Therapist Assistant (Graduate of a Non-American/Non-Approved Program) (rev. 1/11)

Instructions - Licensure by Examination to Practice as a Physical Therapist or Physical Therapist Assistant (Graduate of an American/Approved Program) (rev. 2/10)

Instructions - Licensure by Examination to Practice as a Physical Therapist or Physical Therapist Assistant (Graduate of an Non-American/Non-Approved Program) (rev. 2/10)

Instructions - Reinstatement of Licensure to Practice as a Physical Therapist or Physical Therapist Assistant (rev. 2/10)

Traineeship Application, Statement of Authorization (rev. 3/10)

Traineeship Application, Statement of Authorization (1,000-hour traineeship) (rev. 3/10)

Traineeship Application, Statement of Authorization (480-hour traineeship) (rev. 3/10)

Form L, Certificate of Physical Therapy Education (rev. 3/10)

Continued Competency Activity and Assessment Form (rev. 3/11)

480 Traineeship Completion Form (rev. 3/10)

Application for Direct Access Certification (rev. 1/11)

Instructions – Direct Access Certification (rev. 2/10)

Patient Attestation Form (rev. 7/07)