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 using the "User Login" box to the right to change your address, add or delete a professional location, or print a license. Manual applicants may complete the forms and mail to the board office.
To apply for an Establishment Registration (one therapist only): Establishment Registration Application Form
To apply to renew an Establishment Registration (one therapist only): Establishment Registration Renewal Form
To apply for an Establishment License: Establishment License Application Form
To apply to renew an Establishment License (Renewal Season has changed. See Home Page.): Establishment License Renewal Form
To apply for a change in Name, Ownership and/or Add or Delete Therapists of your Establishment: Establishment Status Change Request
To change your Establishment address: Change of Address Form
To request a duplicate License or Registration: Duplicate Establishment License or Registration Request
To download a Notice of Intent to Contest Violation form, please click here .
P: (225) 756-3488
F: (225) 756-3493
E: [email protected]
2645 O’Neal Lane
Bldg. C, Ste. E
Baton Rouge, LA