Get Physical Therapy Board Of California - Application For Licensure And/or Examination - Physical

Filling out the Physical Therapy Board of California's application for licensure and/or examination can seem daunting, but with clear guidance, the process becomes manageable. This guide will walk you through each section of the application to ensure you complete it accurately online.

Follow the steps to complete your application accurately and efficiently.

1. Click the ‘Get Form’ button to access the application. This will allow you to open the document in your preferred editor.
2. Begin by entering your full name in the designated fields. Ensure the name matches your legal identification documents.
3. If you have any previous names, such as a maiden name, enter them in the provided space.
4. Fill in your official mailing and public address. If your residential address differs, provide that as well; note that P.O. boxes are not acceptable.
5. Provide your home and work telephone numbers, as well as an optional mobile number and email address.
6. Enter your U.S. Social Security Number and birth date. Note that the disclosure of your Social Security Number is mandatory.
7. Indicate if you are requesting reasonable accommodations for the examination. If yes, do not forget to complete the D1 Form and attach it to your application.
8. Answer whether you have previously applied for licensure in California, providing details if applicable.
9. List the CAPTE accredited physical therapy program from which you graduated, including the college or university's name and location, as well as the degree obtained and period of attendance.
10. If you have held any physical therapist or physical therapist assistant licenses in other states, provide that information in the format requested.
11. Answer questions related to any disciplinary actions against your licenses, and follow up with additional documents if required.
12. If you have felony or misdemeanor convictions, detail each offense as instructed and include necessary documentation.
13. Specify if you are required to register as a sex offender, providing details where applicable.
14. Attach the mandatory 2x2 passport-sized photograph, ensuring it meets the outlined requirements.
15. Review your application for completeness, ensuring all questions are answered accurately. Finally, sign the application using blue ink and date it.
16. Once you have completed the form, you can save changes, print, or share the application as needed.

Take the next step in your career by completing your application online today.