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Allied Health Professionals Applications and Forms

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Guide and checklist

Reactivation of an Expired License (English, DOC 75.5 KB)

Applications and forms

CORI Acknowledgement Form AHP (English, PDF 95.73 KB)
CORI Acknowledgement Form AHP (English, DOCX 37.07 KB)
Allied Health Professionals Applications 
Physical Therapy Facility Online Application 
PTCO Experience Waiver Application (English, PDF 73.53 KB)
Policy Regarding Applicants/Licensees with Criminal Records (English, PDF 190.85 KB)
AH Board Reinstatement Application (English, PDF 460.56 KB)
PT Compliance Officer Acknowledgment For Physcial Therapy Facility Application (English, PDF 79.25 KB)
Correct Your Social Security Number or Date of Birth (English, PDF 101.03 KB)
Correct Your Social Security Number or Date of Birth (English, DOC 53.5 KB)

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