Board Services
- Contact Information Form (PDF Download)
- Address
- Name - Please provide a copy of official documentation
- Phone
- Mailing Preferences
- Mailing List Order Form
(PDF Download)
- Mailing lists are:
- Not appropriate for anything beyond acquiring postal addresses Not appropriate for statistical purposes, credentialing or verification of licensure - Not complete lists of licensees
- licensees have the option to request their name and address to be removed from the list at any time
Not guaranteed to be accurate or error free as
- licensees may change their addresses without informing this office
- Delivery
- Mailing lists are produced and sent on or around the 15th of each month.
- Sent only via email in a MS Excel compatible electronic format
- data includes: name, mailing address. Specialty given for physicians only (email us if you need help with specialties).
- Replacement License, Certificate or Registration Order Form (PDF Download)
- National Physical Therapy Examination (NPTE) Scores
- National Physical Therapy Examination (NPTE) scores are automatically reported to the jurisdiction licensing authority through which a candidate applied for initial certification. Request scores using the NPTE Scores Request Form. (PDF Download)
- To request the transfer, if SDBMOE is not the jurisdiction licensing authority, of National Physical Therapy Examination (NPTE) scores to the SDBMOE office, visit Federation of State Boards of Physical Therapy (FSBPT) (Website)
Supervision Agreements and Registration Forms
- Genetic Counselor Temporary Permit Supervision Registration (PDF Download)
- Medical Assistant Supervision Registration (PDF Download)
- Physician Assistant Practice Agreement (PDF Download)
- Physical Therapist Assistant Supervision Registration (PDF Download)
- Occupational Therapy Assistant Supervision Registration (PDF Download)
- Respiratory Care Practitioner Supervision Registration (PDF Download)
- Fax, Mail or Email is acceptable unless part of an initial application.
Helpful Web sites, Links and Information
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