- Select a form from the list below in either a printable or online version, if available.
- Printable forms must be printed, filled out, and mailed back to us following the instructions on the form.
- Online forms can be filled out on your computer screen and submitted to us by clicking on the submit button.
Applications and Forms
- Limited Permit in Respiratory Care (PDF)
- License in Respiratory Care (PDF)
- Criminal Offender Record Information (CORI) Request Form (if applicable)
- Online Renewal, Change of Address and Duplicate License
- Change of Address or Name (PDF)
- Evaluations of Foreign Studies
This information is provided by the Division of Health Professions Licensure within the Department of Public Health.
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