A fully reinstate licenses lapsed for no more than 90 days, shall be issued, if the applicants for reinstatement submit to the OPLC:

1. (a) A completed, dated, and signed “Universal Application for License Renewal” form described in Plc 308.06(b) and (d) through (g);
2. (b) Proof in accordance with Phy 406 of having completed any requirement for maintenance of continuing competence left uncompleted at the time the license lapsed;
3. (c) Payment of the reinstatement fee set forth in Plc 1002.39;
4. (d) A completed “Physical Therapist and Physical Therapist Assistant Work History Form”, revised 10/2023, provided by the OPLC;
5. (e) A written statement that the reinstatement applicant has not engaged in physical therapy in New Hampshire on a volunteer or paid basis since the date that their license ceased to be valid;
6. (f) The New Hampshire jurisprudence assessment module described in Phy 303.04; and
7. (g) Submit transcripts as described in Phy 304.02(c) if not previously submitted.

Source. #9431, eff 3-19-09; ss by #12088, eff 1-20-17; ss by #13825, eff 2-17-24 (formerly Phy 403.04)