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Forms & Application



Application Forms for Licensure
General Information for Application                                
Certificate of Professional Education -                              
Jurisprudence Assessment Module (OR JAM)                                      
Revised Statutes Chapter 688 Jan 2015                    
FSBPT and Oregon Physical Therapist Licensing Board application process                                      






Administrative Forms
​Address Change Form - Direct Submittal to the Board
Name Change Form    

Written Verification

Mailing List Request Form

Miscellaneous Forms
​How to apply for Board Appointment and Board Member Interest Form