This form must be submitted directly from the educational institution you attended.
- If you are a graduate of a program registered by the New York State Education Department as licensure qualifying or accredited by the American Physical Therapy Association (APTA), you must complete Form 2 as follows:
- Section l: Complete this section of the form before sending it to your educational institution, then forward this form to your academic institution for completion of Section ll, Part A and Part B. Be sure to sign and date item 8.
- Section ll: Have your school complete this section and forward it directly to the Office of the Professions. The Registrar or appropriate school official must return the completed form directly to the State Education Department, Office of the Professions, Division of Professional Licensing Services, Physical Therapy Unit, 89 Washington Avenue, Albany, NY 12234-1000.
- If you are applying for licensure based upon an education program that is outside the United States and NOT accredited by the American Physical Therapy Association (APTA), do not use Form 2. You must have your educational credentials verified by an independent credentials verification organization. Please refer to the "Education Requirements" section for the proper procedure.
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