State Physical Therapy & Occupational Therapy Board Applications & Forms NEW License Applications Physical Therapist and Physical Therapy Assistant Application #08-4065, Revised 03/13/2020 Occupational Therapist and Occupational Therapy Assistant Application #08-4123, Revised 03/13/2020 Physical Therapy and Occupational Therapy Limited Permit Application #08-4578, Revised 04/04/2019 Foreign-Trained Physical Therapist and Physical Therapy Assistant Application #08-4091, Revised 09/29/2019 At a special board meeting held November 21, 2022 Member Dean made the following motion, seconded by Member Radley: The board will act in good faith to approve foreign-educated applicants per the intent of the proposed regulations to support HB99 effective 12/01/2022. All board members voted yes - Phelps, Dean, Radley, Walker, McLean, and Hill. Motion passes unanimously. RENEWAL License Applications Biennial Physical Therapist and Physical Therapist Assistant License Renewal Application #08-4116, Revised 07/03/2023 Biennial Occupational Therapist and Occupational Therapy Assistant License Renewal Application #08-4114, Revised 07/03/2023 REINSTATEMENT License Applications Physical Therapist and Physical Therapy Assistant Reinstatement Application #08-4388, Revised 09/05/2014 Occupational Therapist and Occupational Therapy Assistant Reinstatement Application #08-4570, Revised 09/05/2014 Miscellaneous Forms may be located under CBPL QUICK Links in the sidebar.