June 24, 2022: The Centers for Disease Control and Prevention has listed Fairfield, Hartford, New London, Middlesex, Tolland, and Windham Counties in Low/Green the as part of its COVID-19 Community Levels Map. Only Litchfield, Middlesex and New Haven County are listed in the Medium/Yellow category. Residents who live in the Medium /Yellow counties who are at a high risk for severe illness, should talk to their health care provider about whether to wear a mask and take other precautions. These residents should stay up to date with their COVID-19 vaccines and get tested if they have symptoms. Visit the CDC COVID-19 Community Levels Map for updates.

Physical Therapist 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 $285.00 in the form of a bank check or money order payable to, “Treasurer, State of Connecticut”;

 

A current, updated resume summarizing your professional activity since completion of your physical therapy educational program;

 

If applicable, official verification form sent directly from each state licensing authority where a license or certification is or has ever been held.  Please contact the jurisdiction as some charge a fee for completion of the verification form.

 

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

 

Applicants who have had their Connecticut licensed revoked for a disciplinary reason are not eligible to apply for reinstatement via the route outlined above.

 

Applicants for reinstatement who have been out of the active practice of physical therapy for longer than 6 months are presented to the Connecticut Board of Examiners for Physical Therapists.  The Department seeks the Board's recommendation as to the applicant's suitability for reinstatement.  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.  Applicants 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

PT 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