Forms
As of 8 PM on March 28th, the Board's online portal will be temporarily unavailable while we transition to our new licensing system. We will continue to process license applications, renewals and other services during this transition period. To submit your request, please complete and submit the appropriate PDF form and make your payment online if required. Instructions for submitting the forms are provided for each Form type.
A Change of Contact Information Form
The online portal is temporarily unavailable while we transition to our new licensing system. Please complete the Change of Contact Information Form and submit the form via email to [email protected].
Application for Licensure
The online portal is temporarily unavailable while we transition to our new licensing system. Please review the instructions for submitting your application, complete the Application for Licensure Form and submit the form when you make your payment online.
Application for Licensure - Universal Recognition
The online portal is temporarily unavailable while we transition to our new licensing system. Please review the instructions for submitting your application, complete the Application for Licensure - Universal Recognition Form and submit the form when you make your payment online.
Complaint Against a Licensed Respiratory Therapist
The online portal is temporarily unavailable while we transition to our new licensing system. Please complete the Complaint Against a Licensed Respiratory Therapist Form and submit the form via email to [email protected].
Name Change
The online portal is temporarily unavailable while we transition to our new licensing system. Please complete the Name Change Form and submit the form when you make your payment online.
Renewal Application
The online portal is temporarily unavailable while we transition to our new licensing system. Please review the instructions for submitting your application, complete the Renewal Application Form and submit the form when you make your payment online.
Temporary License Instructions & Application
Please complete the Temporary License Application Form and submit the form in person, by regular mail or email.
Verification from Another State
Please complete the Verification from Another State Form and submit the form in person, by regular mail or email.
Verification to Another State
The online portal is temporarily unavailable while we transition to our new licensing system. Please complete the Verification to Another State Form and submit the form when you make your payment online.