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All fees are non-refundable. Our office cannot accept personal checks over $25.00 nor any cash. Fees may be paid via cashier's check, business check, or money order.

Forms must be completed in its entirety to be accepted. If any application requirements are not fulfilled, your application will be returned to you for completion/correction, and this will delay your request for licensure/exam eligibility.

Our office will only contact you for issues regarding your application. All other requirements are solely the responsibility of the applicant.

OUR OFFICE HAS MOVED. PLEASE SUBMIT ALL DOCUMENTATION AND FEES TO:
2 Players Club Drive Suite 102, Charleston, WV 25311.


1. Endorsement Applicant Checklist and Application
For licensed Physical Therapists and Physical Therapist Assistants applying via endorsement from another state. Foreign-educated applicants: see form 2.
Download Fee: FREE
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1a. Verification Request for Endorsement Applicants
DO NOT SUBMIT THIS FORM TO OUR OFFICE. You may forward this completed form to any state/s you are or have ever been licensed (active or not) as a PT/PTA.
Download Fee: FREE
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2. Foreign Applicant Checklist and Application
For PT exam AND endorsement applicants not educated in the United States.
Download Fee: FREE
Download Now

3. Exam Applicant Checklist and Applications
For individuals applying to become a licensed PT or PTA via the NPTE.
Download Fee: FREE
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3a. Exam Application
This form must be submitted for each additional exam after receiving a failing score.
Download Fee: FREE
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3b. Exam Special Accommodations Request Form
You may submit this form with your licensure and exam applications if you require special accommodations for the exam.
Download Fee: FREE
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3c. Temporary Permit Application
You may submit this form with your licensure and exam applications. A conferred PT/PTA degree and a position as a PT/PTA in WV are required.
Download Fee: FREE
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3d. PT/PTA Licensure Application
Licensure applications expire one year from your signature date. If yours has expired, you must submit a new licensure application and $25.00 fee.
Download Fee: FREE
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4. CE Requirements for Reactivation
Please refer to these CE requirements for reactivation of a delinquent or inactive license.
Download Fee: FREE
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4a. Reactivation of a Delinquent License Application and Instructions
For licensees wishing to reactivate a delinquent license.
Download Fee: FREE
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4b. PT Reactivation of an Inactive License Application and Instructions
For Physical Therapists wishing to reactivate an inactive license.
Download Fee: FREE
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4c. PTA Reactivation of an Inactive License Application and Instructions
For Physical Therapist Assistants wishing to reactivate an inactive license.
Download Fee: FREE
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5. PT/PTA Inactive Application
For PT/PTA requesting inactive status. Please be advised that only an active license may be made inactive.
Download Fee: FREE
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6. Affidavit of Lost or Replacement Documents
Submit this form to request replacement documents from the board.
Download Fee: FREE
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7. Name / Address Change Notification Form
You are required to provide the board with current contact information.
Download Fee: FREE
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8. Military Deployment – Continuation of License Download Fee: FREE
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8a. Military Deployment – CE Waiver Request Download Fee: FREE
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8b. Military Deployment – CE Waiver Request (Spouse) Download Fee: FREE
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9. WV Verification Request Form
Complete and submit this form to our office if you need verification of your WV license/registration sent to another jurisdiction.
Download Fee: FREE
Download Now



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