FORMS
DOPL Name and Address Change Form
DOPL License Certification Request Form
DOPL Duplicate License Application form
PHT Dry Needling Certification Application
PHT Physical Therapist Application
Physical Therapist Assistant Application
Criminal Conviction Disclosure Form
Inquiry on Impact of Conviction From Updated
Certificate of Professional Education Form
Dry Needling Certification Application
PT Continuing Education Approval Request Form
LINKS
Federation of State Boards of Physical Therapy
124 West Street South, Third Floor
Alexandria, VA 22314
Phone 703-299-3100 Fax 703-299-3110
APTA – Idaho – A Chapter of the American Physical Therapy Association