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Massage Therapist Reinstatement of a Lapsed License

 

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

 

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

 

A completed, notarized application with photograph and fee in the amount of $375.00 in the form or a bank check or money order payable to, "Treasurer, State of Connecticut";

 

A separate bank check or money order in the amount of $4.75 made payable to, “Treasurer, State of Connecticut”.  This payment covers the Department’s cost for querying the National Practitioner Data Bank.  

 

A current, updated resume summarizing your professional activity since completion of massage therapy school;

 

Verification of any out-of-state license or certification held, current or expired submitted directly to this office from the source.  Please contact the state prior to submitting the request form as most states charge a fee for this service;

 

Verification from the appropriate authority confirming your most recent employment; including dates and an overall evaluation of your ability to practice with reasonable skill and safety.  If you are in private practice, a letter from another practitioner with whom you have a referral relationship.  Such letter shall indicate dates of the referral relationship and an evaluation of your ability to practice with reasonable skill and safety.

 

Please note that a massage therapist who has been out of active, clinical practice for a significant period of time may be required to complete additional training or an examination.  Applicants to whom this applies will receive further information from the Department upon receipt of an application.

 

All supporting documentation should be sent directly from the source to:

 

Connecticut Department of Public Health

Massage Therapist 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