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 completion of the applicant's physical therapy assistant educational program;
If applicable, official verification form sent directly from each licensing authority where a license or certificate is or has ever been held. Please contact the jurisdiction prior to submitting the form as a fee may be required for this service;
Verification from the appropriate authority confirming the applicant's most recent employment as a physical therapist assistant including dates and overall evaluation of the applicant's ability to practice with reasonable skill and safety.
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 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
410 Capitol Ave., MS #12 APP
P.O. Box 340308
Hartford, CT 06134
Phone: (860) 509-7603
Fax: (860) 707-1982