1. (a) For a physical therapist holding a conditionally reinstated license, the letter indicating supervisory approval shall:

   1. (1) Be dated and signed by the individual who is the physical therapist's most recent supervisor;
   2. (2) Be based on the determinations by the supervisor required by Phy 404.10;

   3. (3) Make a statement that the physical therapist is ready to practice under full licensure because the supervisor has determined that they have the following requisite skills detailed in Phy 404.10:

      1. a. Evaluation skills;
      2. b. Treatment skills;
      3. c. Management skills; and
      4. d. Professional interaction skills;
   4. (4) State the number of hours of direct personal supervision;
   5. (5) State the number of hours of direct supervision hours; and
   6. (6) State the number of general supervision hours.

2. (b) For a physical therapist assistant holding a conditionally reinstated license, the letter indicating supervisory approval shall:

   1. (1) Be dated and signed by the individual who is the physical therapist assistant's most recent supervisor;
   2. (2) Be based on the determinations by the supervisor required by Phy 404.11;

   3. (3) Make a statement that the physical therapist assistant is ready to practice under full licensure because the supervisor has determined that the physical therapist assistant has the following requisite skills detailed in Phy 404.11:

      1. a. Assessment skills;
      2. b. Treatment skills;
      3. c. Management skills; and
      4. d. Professional interaction skills;
   4. (4) State the number of hours of direct personal supervision;
   5. (5) State the number of hours of direct supervision hours; and
   6. (6) State the number of general supervision hours.

Source. #9431, eff 3-19-09; ss by #12088, eff 1-20-17; ss by #13825, eff 2-17-24 (formerly Phy 404.07)