Athletic Trainer Reinstatement of a Lapsed License

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

 

Applications are only accepted online.  In order to submit your reinstatement application online, you will need to know your current user ID and password in DPH's system.  If you do not recall your user ID and password, you can use the recovery options as well as the 'Register' link.  If you use the 'Register' link, please disregard the language under 'PLEASE READ' and select 'NEXT' button at the bottom of the page.  On the next screen, you will need to match your first name, last name and the last 4 digits of your SSN and create a new password and validate your email address.  Please select this link to submit your online application. The application fee is $200.

 

As part of an online application, the applicant will upload a recent photo of themself and 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;

 

The applicant will arrange for the following to be submitted directly to DPH:

 

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