
Quick Hits
- Continuing Competency
- Continuing Competency FAQ's
- Verify a License
- How to Apply for a License
- Citations & Disciplinary Actions
- Meetings
- Join Our Mailing List
- Useful Links
- Model Guidelines for Issuing Citations and Imposing Discipline
- Regulatory: Decisions Pending & Opportunities for Public Participation
- Department of Consumer Affairs
- Decisions Pending & Opportunities for Public Participation
- Model Guidelines for Issuing Citations and Imposing Discipline
- California Physical Therapy Association (CPTA)
Forms and Publications
APPLICANT FORMS
- Applicants Name/Address Change Form
- Application for Licensure
- Certificate of Completion (P1E)
- Verification of Clinical Experience for a PTA Equivalency Applicant
- Request for Special Accommodations (D1) & Instruction for Evaluators
- Fingerprint Information & Live Scan Form
- Approved Credential Evaluation Services
- Notice of Intent to Supervise a Foreign Educated Physical Therapist (NOI) Form
- Clinical Site Instructions Form (CSIF) for Foreign Educated Physical Therapist Applicant - available on the APTA's website
- Work Verification Form for a Foreign Educated Applicant - Period of Clinical Service (Only for those applicants that are already licensed in another State in the U.S.)
LICENSEE FORMS
- Application for Endorsement/Verification Letter
- Licensee Name/Address Change Form
- Request Duplicate Wall or Wallet License Form
- License Renewal - Criminal Conviction Disclosure Requirements
- Criminal Conviction Questionnaire
- Statement of Renewal
CONTINUING COMPETENCY
- Continuing Competency Disclosure Questionnaire
- Inactive to Active License Status Application
- Continuing Competency Activities and Coursework Checklist
- Continuing Competency Exemption Application
CONSUMER PROTECTION FORMS
- Consumer Complaint Form
- Authorization of Patient Health Information
- For additional information on How to File a Complaint, please click here.
- How to Become an Expert Consultant/Practice Monitor for the Board
- Expert Consultant/Practice Monitor Selection Criteria
- Expert Consultant/Practice Monitor Application
PETITION FOR PENALTY RELIEF REINSTATEMENT OF LICENSE/MODIFICATION AND⁄OR TERMINATION OF PROBATION
- Instructions for Preparing Petition Application
- Business & Professions Code 2661.7 Petition for Modification
- Petition for Reduction of Penalty Application
NEWSLETTERS
- Spring 2011 Progress Notes
- Summer 2010 Progress Notes
- March 2008 Progress Notes
- December 2005 Progress Notes
- March 2005 Progress Notes
- September 2004 Progress Notes
- February 2004 Progress Notes
If you are interested in obtaining additional copies of the Board's Progress Notes to hand out in a physical therapy facility and/or a physical therapy program, please email your request to pi@dca.ca.gov.
BOARD SPECIFIC DOCUMENTS
- PTBC Administrative Manual
- 2011 Sunset Report
- 2009 Strategic Plan
- 2005 Sunset Report
- 2003 Sunset Report
- Report to the California Legislature on the Necessity of Certifying Physical Therapists to Perform Electromyography
LAWS & REGULATIONS PUBLICATIONS
- Reference to the Laws & Regulations Governing the Practice of Physical Therapy
- What are the Requirements for Supervision of Physical Therapy Assistants
- What are the Requirements for Supervision of Physical Therapy Aides
- Practice Issues
CONSUMER PROTECTION SERVICES PUBLICATIONS
- How Complaints are Handled
- Patient Records
- Physical Therapy Never Includes Sex
- Services to Consumers
- Model Guidelines for Issuing and Imposing Discipline

