Form - FORMS (18VAC112-20)
Application for Licensure by Examination to Practice Physical Therapy (rev. 8/2023)
Application for Licensure by Endorsement to Practice Physical Therapy (rev. 8/2023)
Application for Reinstatement to Practice Physical Therapy (rev. 8/2023)
Application for Reinstatement after Disciplinary Action to Practice Physical Therapy (rev. 8/2023)
Application for Traineeship to Practice Physical Therapy Statement of Authorization (rev. 8/2023)
Completion Form for 320-hour Traineeship to Practice Physical Therapy (rev. 8/2023)
Verification of Physical Therapy Education for Graduates of Approved Programs Only (rev. 8/2023)
Continued Competency Activity and Assessment Form (rev. 8/2023)
Continuing Education (CE) Credit Form for Volunteer Practice (rev. 8/2023)
Application for Direct Access Certification (rev. 8/2023)
Direct Access Patient Attestation and Medical Release Form (rev. 7/2023)
Physical Therapy Name/Address Change Form (rev. 8/2023)
Request for Verification of a Virginia Physical Therapy License (rev. 8/2023)
Application for Reactivation (Inactive to Active) to Practice Physical Therapy (rev. 8/2023)
Out-of-State Practitioner Reporting Form (rev. 7/2023)