• Decisions Pending & Opportunities for Public Participation
• Model Guidelines for Issuing Citations and Imposing Discipline
• California Physical Therapy Association (CPTA)

What Makes an Application Complete

A Kinesiological Electromyography (KEMG) Application must contain the Following Documents

• The Fee Schedule form with the appropriate application and examination fees.
• Application with all questions answered, picture affixed, signed and dated.
• Completion of the Affidavit of Self-Study for KEMG form or official transcripts documenting completion of the required course work pursuant to section 1399.63 of Title 16 of the California Code of Regulations.
• Affidavit of Training and Supervision for KEMG form - signed by the supervisor.
• Agency Copy of Live Scan form for the Federal Bureau of Investigation (FBI) only.
• If you require reasonable accommodations for the examination, a completed Disability Accommodations Request Form (D1) must be completed and submitted with the application.

A Electroneuromyography (ENMG) Application must contain of the Following Documents

• The Fee Schedule form with the appropriate application and examination fees.
• Application with all questions answered, picture affixed, signed and dated.
• Completion of the Affidavit of Self-Study for ENMG form or official transcripts documenting completion of the required course work pursuant to section 1399.64 of the California Code of Regulations.
• Affidavit of Training and Supervision for ENMG form – signed by the supervisor.
• Agency Copy of Live Scan form for the Federal Bureau of Investigation (FBI) only.
• If you require reasonable accommodations for the examination, a completed Disability Accommodations Request Form (D1) must be completed and submitted with the application.

Failure to submit a complete application may result in your application being closed.

Mail a Complete Application to:
Physical Therapy Board of California
2005 Evergreen Street, Suite 1350
Sacramento, CA 95815