PURPOSE: This rule provides instructions for filing an application for licensure as a physical therapist assistant.

1. (1) All applicants are 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) All applicants must provide, on the application form, a recent unmounted photograph, in size no larger than three and one-half inches by five inches (3 1/2" × 5").
4. (4) Applications shall be sent to the Missouri State Board of Registration for the Healing Arts, P.O. Box 4, Jefferson City, MO 65102.
5. (5) The board shall charge each person applying for licensure to practice as a physical therapist assistant, either by examination, reciprocity, or without examination prior to the expiration of the grandfather clause, an appropriate fee established by the board. The fee shall be sent in the form of a cashier’s check or money order drawn on a United States bank.
6. (6) No application will be processed prior to the submission of the required application fee in the appropriate form.
7. (7) An applicant may withdraw his/her application for licensure anytime prior to the board’s vote on his/her candidacy for licensure. In the event that an applicant withdraws his/her application, the appropriate fee established by the board will be retained as a service charge.
8. (8) In all instances where a signature of the applicant is required, this signature must be an original signature.

AUTHORITY: sections 334.125, 334.650, 334.655, 334.660 and 334.670, RSMo Supp. 1997.* This rule originally filed as 4 CSR 150-3.100. Original rule filed Sept. 4, 1997, effective March 30, 1998. Moved to 20 CSR 2150-3.100, effective Aug. 28, 2006.

*Original authority: 334.125, RSMo 1959, amended 1993, 1995; 334.650, RSMo 1996; 334.655, RSMo 1996, amended 1997; 334.660, RSMo 1996; and 334.670, RSMo 1996.