Boards

Board of Physical Therapy Forms

Physical Therapy License Application (notarized)
Physical Therapy Assistant License Application (notarized)
- PTA Supervision Registration Form
Physical Therapy License Renewal
- Paper form (if unable to complete the online renewal)
Dry Needling Approval Request Form
Affidavit: Waiver of Physical Therapy Continuing Education Requirements (notarized)

Licensing Resource:

Scope of Practice Decision-Making Algorithm

Content last updated: August 28, 2024. For questions, contact:

Brooke Tellinghuisen Geddes
Executive Secretary
810 N. Main St., Suite 298
Spearfish, SD, SD 57783

email: office@sdlicensing.com
local: 605-642-1600
fax: 605-722-1006