Athletic Trainer Reinstatement of a Lapsed License

Before applying for licensure, please familiarize yourself with the general licensing policies.

 

An applicant for reinstatement of a Connecticut license that has lapsed due to nonrenewal shall provide the following documentation:

 

A completed, notarized application with photo and fee in the amount of $190.00 in the form of a bank check or money order payable to, “Treasurer, State of Connecticut”;

 

The applicant’s current curriculum vitae (CV) or synopsis of professional activity since the applicant's initial certification by the Board of Certification for the Athletic Trainer;

 

Verification from the appropriate authority confirming the applicant's most recent employment including dates and overall evaluation of the applicant's ability to practice with reasonable skill and safety; and

 

If applicable, verification of any out-of-state license, certification or registration (current or expired).  Please check with the appropriate agency, as some agencies charge a fee for completion of the form. 

 

Note:  Typically, applicants for reinstatement who have not been in active, clinical practice for longer than five years are required to complete a period of refresher training and examination.  Applicants to whom this applies will receive further information from the Department upon receipt of all required documentation.

 

Please arrange for all supporting documentation to be sent directly from the source to:

 

Connecticut Department of Public Health

Athletic Trainer Licensure

410 Capitol Ave., MS #12 APP

P.O. Box 340308

Hartford, CT 06134

Phone: (860) 509-7603

Fax: (860) 707-1982

Email: dph.alliedhealth@ct.gov