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