18VAC112-20 Regulations Governing the Practice of Physical Therapy

REGULATIONS

Vol. 27 Iss. 25 - August 15, 2011

TITLE 18. PROFESSIONAL AND OCCUPATIONAL LICENSING

BOARD OF PHYSICAL THERAPY

Chapter 20

Forms

Title of Regulation: 18VAC112-20. Regulations Governing the Practice of Physical Therapy.

Agency Contact: Elaine J. Yeatts, Agency Regulatory Coordinator, Department of Health Professions, 9960 Mayland Drive, Suite 300, Richmond, VA 23233, telephone [phone], FAX [phone], or email [e-mail].

NOTICE: The following forms used in administering the regulation were filed by the agency. The forms are not being published; however, online users of this issue of the Virginia Register of Regulations may click on the name to access a form. The forms are also available through the agency contact or at the Office of the Registrar of Regulations, General Assembly Building, 2nd Floor, Richmond, Virginia 23219.

FORMS (18VAC112-20)

Application for Licensure by Examination to Practice as a Physical Therapist/Physical Therapist Assistant (rev. 9/07).

Application for Licensure by Endorsement to Practice Physical Therapy as a Physical Therapist/Physical Therapist Assistant (rev. 12/07).

Application for Reinstatement of Licensure to Practice Physical Therapy as a Physical Therapist/Physical Therapist Assistant (rev. 8/07).

Instructions for Licensure by Endorsement to Practice as a Physical Therapist or Physical Therapist Assistant (Graduate of an American/Approved Program) (rev. 11/07).

Instructions for Licensure by Endorsement to Practice as a Physical Therapist or Physical Therapist Assistant (Graduate of a Non-American/Nonapproved Program) (rev. 11/07).

Instructions for Licensure by Examination to Practice as a Physical Therapist or Physical Therapist Assistant (Graduate of an American/Approved Program) (rev. 8/07).

Instructions for Licensure by Examination to Practice as a Physical Therapist or Physical Therapist Assistant (Graduate of a Non-American/Nonapproved Program) (rev. 8/07).

Instructions - Reinstatement of Licensure to Practice as a Physical Therapist/Physical Therapist Assistant (rev. 4/08).

Traineeship Application, Statement of Authorization (rev. 8/07).

Traineeship Application, Statement of Authorization (1,000-hour traineeship) (rev. 8/07).

Traineeship Application, Statement of Authorization, Relicensure (480-hour traineeship) (rev. 12/07).

Form #L, Certificate of Physical Therapy Education (rev. 7/08).

Continued Competency and Assessment Form (rev. 7/08).

480 Traineeship Completion Form (rev. 12/07).

Application for Direct Access Certification (rev. 4/09).

Instructions – Direct Access Certification (rev. 4/09).

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

Application for Licensure by Endorsement 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).

VA.R. Doc. No. R11-2937; Filed July 25, 2011, 3:51 p.m.