Application Forms & Publications

Physical Therapist

Application Fillable Form

Address/Name Change/Duplicate License Request

Application Fillable Form

Physical Therapist - Inactivation Application

Application Fillable Form

Physical Therapist - Reactivation Application

Application Fillable Form

Physical Therapy Abandoned Application Important Notice and FAQ's

Pursuant to §16-110-10(d), Hawaii Administrative Rules, your application shall be considered abandoned and shall be destroyed if a license is not issued within one year of the application date as a result of: (1) failure to complete licensure requirements, or (2) take the required licensure examination, if required, or (3) to submit the required documentation and evidence of qualifications.

PHYSICAL THERAPIST RENEWAL APPLICATION FORMS

Forms to be used only for renewal and restoration of license