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PA Application for Physical Therapist Assistant 2015-2026 free printable template

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Rev 4/15 STATE BOARD OF PHYSICAL THERAPY P. O. BOX 2649 HARRISBURG, PA 171052649 (717)7837134 www.dos.pa.gov/physther APPLICATION FOR PHYSICAL THERAPIST ASSISTANT TO PRACTICE WITH INDIRECT SUPERVISION
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How to fill out PA Application for Physical formrapist Assistant

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How to fill out PA Application for Physical Therapist Assistant

01
Obtain the PA Application for Physical Therapist Assistant form from the state licensing board website.
02
Fill in your personal details, including your name, address, and contact information.
03
Provide your educational background, including the name of the accredited physical therapy program and dates attended.
04
List any relevant work experience in the field of physical therapy.
05
Answer any questions regarding criminal history or disciplinary actions taken against you in related professions.
06
Include the names and contact information of individuals who can provide references regarding your qualifications.
07
Review the application for completeness and accuracy.
08
Prepare any required documentation, such as transcripts and proof of internship hours.
09
Pay the necessary application fee as instructed.
10
Submit the application along with all supporting documents by the specified deadline.

Who needs PA Application for Physical Therapist Assistant?

01
Individuals who have completed an accredited physical therapist assistant program and wish to practice in Pennsylvania.
02
Those seeking licensure to ensure compliance with state requirements for physical therapy assistance.
03
Graduates looking to enter the workforce as licensed physical therapist assistants.
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People Also Ask about

Direct Access refers to a physical therapist's ability to evaluate and treat you without a doctor's referral, and each state has different laws regarding this. Pennsylvania law does allow you to see a physical therapist without a referral from your physician.
PTA/OTA's cannot write progress notes. It's also important to remember the time involved in writing a progress report cannot be billed separately. Like all documentation, Medicare considers it included in the payment for the treatment time charge.
A licensed physical therapist shall not supervise more than three (3) physical therapist assistants at any time.
- Complete the reactivation application form. - Complete the Verification of Practice/Non-Practice form. - Submit the current renewal fee + reactivation fee. Note: If you have been practicing in Pennsylvania since your license has been expired/inactive, you must also include a $5.00 per month late penalty fee.
What is the ratio between supervising PTs and PTAs? A licensed physical therapist shall not supervise more than three (3) physical therapist assistants at any time.
In Pennsylvania, an individual can choose to go directly to a physical therapist for an evaluation/treatment for a period of 30 days.

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The PA Application for Physical Therapist Assistant is a formal document required for individuals seeking licensure to practice as Physical Therapist Assistants in Pennsylvania.
Individuals who have completed an accredited Physical Therapist Assistant educational program and wish to obtain a license to practice in Pennsylvania must file the PA Application.
To fill out the PA Application, applicants must complete all required sections, provide personal information, educational history, and submit any necessary documentation along with the application fee to the appropriate regulatory board.
The purpose of the PA Application for Physical Therapist Assistant is to evaluate the qualifications of candidates to ensure they meet the standards set by the state for practicing as a Physical Therapist Assistant.
The application requires personal identification information, educational background, clinical experience details, any previous license information, and results of required examinations.
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