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Instructions and Applications for PT/PTA's

PT/PTA | Instructions and Applications for PT/PTA's

Endorsement Checklist and Application for Licensure
For Physical Therapists and Physical Therapist Assistants applying for licensure by endorsement from another state.

PT / PTA Application
Click above for PT/PTA Application.

New Grad /Exam App. Checklist & Application for Lic.
Click above for New Grad /Exam Application Checklist & Application for Licensure

Exam Application Instructions and Exam Application
Click above for Exam Application Instructions and Exam Application.

Exam Applicant - Special Accommodations Request Form
Click above for Exam Applicant - Special Accommodations Request Form

Application for Reactivation & Delinquent Instructions
Click above for Application for Reactivation & Delinquent Instructions.

Application for Reactivation & Inactive Instructions
Click above for Application for Reactivation & Inactive Instructions.

Temporary Application
Click above for Temporary Application.

Affidavit of Lost or Replacement Documents
Click above for Affidavit of Lost or Replacement Documents.

Name / Address Change Notification Form
Click above for Name / Address Change Notification Form.

PT/PTA and Athletic Trainers Fees
Click above for a list of all fees.

Please be advised the board does not accept cash nor personal checks. All fees must be paid in the form of a money order, business check or cashiers check.

Please mail all applications and fees to:

WV Board of Physical Therapy
101 Dee Drive
Charleston, WV 25311

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