Forms

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Provisional Licensure

Effective August 1^st 2022

PROVISIONAL LICENSURE: LOUISIANA GRADUATES ONLY

LAW: §3556.  The board shall make available to any graduate of a state-approved, Louisiana-based school for massage therapy a provisional license for immediate use upon graduation (On or after August 1^st, 2022) at an established massage therapy business registered with the board. The provisional license shall be active for one three-month term and shall not be renewed.  Any facility that employs a massage therapist who is operating under a provisional license shall notify a client of the licensure status of a provisionally licensed massage therapist prior to the client receiving any services from that massage therapist.  A provisionally licensed massage therapist may only work at a facility that employs a licensed massage therapist. 

 

To Review The Provisional Law: Click HERE

 

To APPLY for Provisional Licensure: Click HERE

 

To REGISTER your Provisional License: Click HERE  

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Massage Therapists

Licensure: 

To apply for first-time licensure: Louisiana Application for License

To apply for first-time licensure through Reciprocity: Reciprocity Application for Licensure 

To complete your registration VIA MAIL, after you have received your Acceptance Letter: Professional License Registration

To complete your registration online, after you have received your acceptance letter: Please log in to your account 

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Renewal: 

To renew your license ONLINE please log in to your account 

To renew your license VIA MAIL: Professional License Renewal Form

Note:  Please verify your CE Certificate contains all information as specified in LAC, Title 46, Part XLIV, Chapter 37, 3703 (C) (2) to avoid application denial.  To avoid a late fee, applications must be approved prior to March 31st.

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Active/Inactive Status: 

To apply for inactive status: Inactive Status Request Form

To apply for active status: Active Status Request Form

Change Notification Forms: 

To change your home address: Change of address for Professional License

To remove or add a Professional Location within 30 days of occurrence: Add or Delete Professional Location Form

To Change Name on LMT License: Change of Status Form - Therapist Name

Other Forms: 

To request that the Board verify your license: License Verification Request Form

To obtain a duplicate license: Duplicate Professional License Request 

To apply for CE credit for a non-standard program or course of study: Non-Standard Program or Course of Study Application

To submit a Notice of Intent to Contest Violation: Notice of Intent to Contest Violation Form

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P: (225) 756-3488
F: (225) 925-7834
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