• 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
  • Attachment A - Administrative Manual
  • Attachment B - Program Organizational Charts
  • Attachment C - Retention Schedule
  • Attachment D - Proposed Physical Therapy Practice Act
• 2009 Strategic Plan
• 2005 Sunset Report
  • Proposed Physical Therapy Practice Act - Exhibit C
  • PTBC's response to the Background Paper for Hearing on December 6, 2005
• 2003 Sunset Report
  • 2001 Background Paper
  • 2002 Final Recommendations
• 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

LICENSING PUBLICATIONS

• Accredited Physical Therapist Education Programs for California
• Accredited Physical Therapist Assistant Education Programs for California