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Este formulario se utiliza para recopilar información del paciente para el registro en Indiana Physical Therapy, incluyendo datos personales, información de seguro y consentimiento para tratamiento.
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How to fill out Indiana Physical Therapy Registration Form

01
Obtain the Indiana Physical Therapy Registration Form from the official website or relevant office.
02
Fill in your personal information, including your full name, address, and contact details.
03
Provide your educational background, including the institution attended and dates of attendance.
04
Detail your professional experience in physical therapy, including any internships or job positions held.
05
Attach any required documentation, such as proof of education and licenses.
06
Review the form for accuracy and completeness.
07
Sign and date the application.
08
Submit the completed form and any attachments to the appropriate state board or agency.

Who needs Indiana Physical Therapy Registration Form?

01
Individuals seeking to practice as physical therapists in the state of Indiana.
02
Graduates from accredited physical therapy programs who are pursuing licensure.
03
Current practitioners looking to renew their registration or license.
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Fee Schedule Physical Therapy Application/RenewalFeeTotal Physical Therapist License by Examination $100 $100 Physical Therapist License by Endorsement $100 $100 Temporary Permit $50 $50 Renewal - every two (2) years; due 6/30 of even-numbered years $100 $1003 more rows
(a) Twenty-two (22) hours of continuing competency activities are required for the biennial renewal period, of which two (2) hours must be in an ethics and Indiana jurisprudence course as it relates to the practice of physical therapy.
On top of the education requirements, the Indiana physical therapy license requirements state that applicants obtaining their license through examination must pass the National Physical Therapy Examination with a scaled score of at least 600; complete the standard positive response documentation and submit to a
Indiana fully implemented the requirements of the PT Compact and is currently issuing and accepting compact privileges.
Continuing Education: A physical therapist shall complete 30 continuing education hours during the preceding biennium. Of those 30 hours, 2 hours must be Board-approved continuing education in child abuse recognition and reporting.
PT CEU Requirements: Current PT's must complete 22 hours of continuing education every two years. License expires July 1 of even years. MedBridge courses are considered category 1. PT's must also complete 2 hours in an Ethics and Indiana Jurisprudence course for each renewal cycle.
Nursing CE Requirements by State STATEREGISTERED NURSE CALIFORNIA 30 contact hours every two years. COLORADO No CE Required. CONNECTICUT 2 contact hours in training or education every 6 years (1 hour screening for conditions like PTSD, suicide risk, depression, and grief and 1 hour suicide prevention training).48 more rows • Feb 3, 2025
CEU stands for Continuing Education Unit. CEUs are utilized across an array of fields serving to encourage lifelong learning and the advancement of the profession.

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The Indiana Physical Therapy Registration Form is a document required for physical therapists and physical therapy assistants in Indiana to register with the state regulatory body, ensuring they meet the necessary qualifications and standards to practice.
Physical therapists and physical therapy assistants who wish to practice in Indiana must file the Indiana Physical Therapy Registration Form.
To fill out the Indiana Physical Therapy Registration Form, applicants must provide personal identification information, education details, work history, and any relevant licensing information. Clear instructions are typically provided on the form itself.
The purpose of the Indiana Physical Therapy Registration Form is to ensure that physical therapists and assistants are properly credentialed and to maintain public safety by regulating the practice of physical therapy in the state.
The form requires information such as applicant's name, contact details, educational background, clinical experience, license number, and any disciplinary actions or criminal history, if applicable.
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