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 arrange for the following documentation to be submitted directly from the source:

 

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.

 

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 $285.

 

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