Physical Therapy Board of California

State of California

Official Website: https://www.ptbc.ca.gov

The PTBC is a California State government agency, which licenses and disciplines physical therapist and physical therapist assistants. The PTBC provides three principal types of consumer services: verifies education and background prior to licensure, provides information about the practice of physical therapy by physical therapists and physical therapist assistants, and investigates complaints against physical therapists and physical therapist assistants.

Forms & Documents

Browse all Physical Therapy Board of California government forms

1 - 20 of 30 forms

Form Title Topics
Application for Examination and/or Licensure Applicant, Applicant
Applying by Endorsement (18-199 Applicant, Applicant
Applying by Exam (18-076 Applicant, Applicant
Approved Credential Evaluation Services Applicant, Applicant
Authorization of Patient Health Information Consumer Protection, Consumer Protection
Certificate of Completion (P1E Applicant, Applicant
Consumer Complaint Form Consumer Protection, Consumer Protection
Continuing Competency Activities and Coursework Checklist Continuing Competency, Continuing Competency
Continuing Competency Disclosure Questionnaire Continuing Competency, Continuing Competency
Continuing Competency Exemption Application Continuing Competency, Continuing Competency
Expert Consultant/Practice Monitor Application Consumer Protection, Consumer Protection
Expert Consultant/Practice Monitor Selection Criteria Consumer Protection, Consumer Protection
Fingerprint Information and Live Scan Form Applicant, Applicant
Form NTC 12-01, August 2, 2012 - Notice to Consumers Licensee, Licensee
How to Become an Expert Consultant/Practice Monitor for the Board Consumer Protection, Consumer Protection
Inactive to Active License Status Application Continuing Competency, Continuing Competency
License Renewal - Criminal Conviction Disclosure Requirements Licensee, Licensee
License Renewal - Criminal Conviction Disclosure Requirements Licensee, Licensee
Notice of Intent to Supervise a Foreign Educated Physical Therapist (NOI) Form Applicant, Applicant
Request for Address Change Licensee, Licensee

Contact Information & Office Locations

1 contact point

Main Office

Address:
2005 Evergreen Street
Suite 1350
Sacramento, CA 95815

Phone numbers:
  • (916) 561-8200
  • (800) 326-2297 (Hearing-impaired persons may call TDD)
  • (916) 561-8213 (Application Services)
  • (800) 832-2251 (Consumer Protection Services Toll Free)
Fax numbers:
  • (916) 263-2560
Emails:
  • PTA@dca.ca.gov (Application Services)
  • FPT@dca.ca.gov (Application Services)
  • cps@dca.ca.gov (Consumer Protection Services)
Hours of operation:
  • Monday – Friday 8:00 a.m. – 5:00 p.m. Office is closed on State holidays.

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