Board of Physical Therapy & Occupational Therapy

Applications & Forms

  NEW License Applications

  RENEWAL License Applications

ONLINE renewal applications are no longer available for the July 1, 2016 to June 30, 2018 license renewal period.

You may renew with the below applications. Allow 4 to 6 weeks from the time the application is received in our building for processing.

If your license lapsed June 30, 2014 or prior then SEE NOTE below.

NOTE: If your license lapsed prior to June 30, 2014 you are required to complete a reinstatement application and meet the requirements according to 12 AAC 54.950. REINSTATEMENT OF A LAPSED LICENSE.

If your license has been lapsed for two but less than five years then you must apply using a reinstatement application. If it has lapsed over five years then you would apply for an entire New License and report all Alaska Licensing information on that application.

  REINSTATEMENT License Applications

  Miscellaneous Forms