Licensure By Examination To Practice As A Physical Therapist Or Physical Therapist printable pdf download

Rev. 07/08/2016

INSTRUCTIONS

Licensure by Examination to Practice as a Physical Therapist or Physical Therapist

Assistant

(This form has been designed for use as a checklist)

Board of Physical Therapy

Perimeter Center - 9960 Mayland Drive, Suite 300 - Henrico, VA 23233-1463

804-367-4674 – PTBoard@dhp.virginia.gov –

If all documentation/information has been received from the applicant, the licensing process takes

approximately 10 days or less. Upon receipt of the license application an acknowledgement letter is emailed

to the applicant advising the applicant what items have been received and what items are lacking. An

application acknowledgement will be sent via e-mail

Applications will remain in process no longer than one (1) year. If, at the end of one (1) year, a license is not

issued, the application file is destroyed.

An applicant shall reapply for licensure, submit fees, required

documentation, and meet the qualifications for licensure in effect at the time of the new application.

1. FEES – The $140.00 PT/ $100.00 PTA application fee is non-refundable.

2. PROOF OF PROFESSIONAL EDUCATION – OFFICIAL transcripts must be received from your

school to include school seal, date of graduation, and program completed before licensure will be

issued. If you are within 60 days of completing your degree requirements, you may submit the

Educational Authorization Form that must be completed by your professional school in order to be

allowed to sit for the Examination. This Educational Authorization Form may not be used in lieu of

official transcripts. OFFICIAL transcripts are required in order to issue licensure.

3. REGISTRATION FOR THE EXAM – Please go the FSBPT website at

to register for

the examination online.

4. SPECIAL ACCOMMODATIONS (AMERICAN DISABILITIES ACT (ADA)) – Applicants seeking

special accommodations must submit the following documentation to the Board: A letter of request

from the applicant that specifies the testing accommodations being requested and a written report of

an evaluation within the preceding two years from a qualified licensed health professional which states

a diagnosis of the disability, describes the disability and recommends specific accommodations. The

evaluation should include a professionally recognized diagnosis of the disability and identification of

the standardized and professionally recognized tests/assessments given (e.g., Woodcock-Johnson,

Wechsler Adult Intelligence Scale). In addition, a written statement from the Dean or Department

Head of your educational institution which describes any testing accommodations made while the

student was enrolled in the program. The Special Accommodation Request must be submitted at the

time of application. If the applicant is unsuccessful on the examination, request for special

accommodations must be submitted each time the applicant requests to take the examination;

however, documentation from the qualified licensed health professional is not required on additional

requests to re-sit for examination.

5. TRAINEESHIP REQUIREMENTS - This form is optional, unless you intend to work in Virginia prior to

receiving the results of your examination. After your application and fee to sit for the examination has

been received and approved, a traineeship application may be approved by the board. The approved

traineeship authorizes an unlicensed graduate PT/PTA to work as a trainee under the direct

supervision of a Virginia licensed physical therapist at a facility, which employs one or more licensed

therapists. The traineeship may not begin prior to the date of approval and shall terminate two days

following receipt by the candidate of the licensure examination scores.

The purpose of this

traineeship is to allow the PT/PTA to work for the time period between approval of the application by

the board until receipt of the examination results. No traineeship application will be approved prior to

approval of the licensure by examination application. However, approval of both applications may

occur simultaneously.

Licensure By Examination To Practice As A Physical Therapist Or Physical Therapist

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