PURPOSE: This rule provides instructions for filing applications in the office of the State Board of Registration for the Healing Arts requesting permanent licensure as professional physical therapists in Missouri.

1. (1) The applicant is required to make application upon a form prepared by the board.
2. (2) No application will be considered unless fully and completely made out on the specified form and properly attested.
3. (3) An applicant shall present with the application at least one (1) recent unmounted photograph, in a size not larger than three and one-half inches by five inches (3 1/2" × 5"), on the back of which there shall be a certificate signed by the dean of the professional school or by a licensed professional physical therapist certifying that the same is a genuine photograph of the applicant.
4. (4) Applications shall be sent to the executive secretary of the State Board of Registration for the Healing Arts, P.O. Box 4, Jefferson City, MO 65102. FINANCIAL INSTITUTIONS AND PROFESSIONAL REGISTRATION
5. (5) The board shall charge each person applying for licensure to practice as a professional physical therapist, either by examination or reciprocity, an appropriate fee established by the board. The fee shall be sent in the form of a bank draft or postal money order or express money order. (Personal checks will not be accepted.)
6. (6) In all instances where the board, by rule or in the application form, has provided that it will accept copies in lieu of an original document, the applicant shall provide copies notarized by a notary public to verify that those copies are true and correct copies of the original document. The board will not recognize foreign notaries. The board shall accept the notarization of a United States consul.

AUTHORITY: section 334.125, RSMo 2000.* This rule originally filed as 4 CSR 150- 3.020. Original rule filed Dec. 19, 1975, effective Dec. 29, 1975. Amended: Filed July 3, 1989, effective Dec. 1, 1989. Amended: Filed June 28, 2002, effective Dec. 30, 2002. Moved to 20 CSR 2150-3.020, effective Aug. 28, 2006. *Original authority: 334.125, RSMo 1959, amended 1993, 1995. State Board of Registration for the Healing Arts of Missouri v. De Vore, 517 SW2d 480 (Mo. App. 1975). Administrative Hearing Commission Act, section 161.252, RSMo (1969) repealed the former authority of the board to conduct evidentiary hearings on the qualifications of applicants for licensure.