Applications and Forms

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Initial License Application Form and Instructions
Single Therapist Massage Establishment License Application
Multiple Therapist Massage Establishment License Application
Sample Compliance Plan for Multiple Therapist Establishments

All multiple therapist establishment applications must be accompanied by a compliance plan. The above sample may be used for guidance.
CORI Permission Form

If you have been asked to provide the Board permission to request a CORI check, please submit this form.
Verification Request

If you require a certificate of verification to go to another jurisdiction(s), please submit separate verification request forms with applicable fees for each verification requested.
Certification of Standing Request
Online Address Change for Massage Therapists

The Online Change of Address feature allows you to change your address of record listed in our database. To use this function, you must provide certain information for authorization.
Change of Name or Request for Duplicate License for Board of Registration of Massage Therapy

This PDF form maybe used to request a name change, address change or a duplicate license.
Health Care Fraud Complaint Application
Division of Professional Licensure Complaint Form

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