Text Size:   A+ A- A   •   Text Only
Site Image


Administrator License Application  PDF
AIT Registration Application  PDF
Preceptor Registration Application  PDF
​Provisional License Application  PDF
Examination Application  PDF
Supplemental Application: Authorization to Practice through Military Training or Experience Equivalency  PDF
Supplemental Application: Authorization to Practice for Military Spouse or Domestic Partner  PDF
Back to Top

License Verification

Affidavit of Licensure Request Form  PDF
Back to Top

Licensee Information Update

Address or Employment Changes
Authorization Holder Information Update Form   PDF
Back to Top

Continuing Education

Continuing Education Approval Request  WORD
Back to Top

Online License Renewal

Back to Top

Consumer Forms

Consumer Complaint Form  PDF
Public Records Request Form   PDF
Back to Top