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Forms

Here you will find all of the printable forms located on our website, for your use. If you are an online applicant, you may log-in in the “User Login” box to the right to change your address, add or delete a professional location or print license.  Manual applicants may complete the form and mail it to the board office.

HELP THE LOUISIANA ATC PUT A STOP TO HUMAN TRAFFICKING

Louisiana ATC Human Trafficking Task Force Website: atc.louisiana.gov/human-trafficking.phd 

LA ATC Hotline: 504-444-4666 Email: ATC-Trafficking@atc.la.gov

Nationwide:

DIAL "211" to be connected with a person & resources needed from anywhere in the U.S. 

TEXT "HELP" to 233733 (be free)

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Massage Therapists 

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

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

To apply to renew your license: 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.

To apply for inactive status: Inactive Status Request Form

To apply for active status: Active Status Request Form

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 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

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