16 CCR 1399.99.3
License Reciprocity: Physical Therapist License Application
An out-of-state licensed physical therapist can apply to the Physical Therapy Board of California to be authorized to participate in a sponsored event and provide their health care services at the event. The application includes completing the “Request for Authorization To Practice Without A License” form, paying a fee, submitting fingerprints, and completing a criminal background check. The Board will notify the practitioner within 20 days of the completed application whether the application was approved. If approved, the practitioner must place a notice stating they hold an out-of-state license in a place visible for patients to see while providing care. Application must be received at least 20 days prior to the sponsored event. A physicial therapist cannot participate in more than 3 sponsored events in any 12 month period.
Out-of-State Practitioner Authorization to Participate in Sponsored Event Request for Authorization to Participate
(a) Request for Authorization to Participate. An out-of-state practitioner ("applicant") may request authorization from the Board to participate in a sponsored event and provide such health care services at the sponsored event as would be permitted if the applicant were licensed by the Board to provide those services. An applicant shall request authorization by submitting to the Board a completed "Request For Authorization To Practice Without A License", Form (PTBC 901-B 11/2/2011), which is hereby incorporated by reference, accompanied by a nonrefundable, and non-transferrable processing fee of fifty dollars ($ 50). The applicant shall also furnish either a full set of fingerprints or submit to a Live Scan process to establish the identity of the applicant and to permit the Board to conduct a criminal history record check. The applicant shall pay any costs for furnishing the fingerprints and conducting the criminal history record check. This fingerprinting and criminal background check requirement shall apply only to the first application for authorization that is submitted by the applicant if no more than four years have passed since the last Request for Authorization, PTBC Form 901-B (11/2/2011) was received by the Board. (b) Response to Request for Authorization to Participate. Within twenty (20) calendar days of receiving a completed request for authorization, the Board shall notify the sponsoring entity or local government entity administering the sponsored event, whether that request is approved or denied. (c) Denial of Request for Authorization to Participate. (1) The Board shall deny a request for authorization to participate if: (A) The submitted Form (PTBC 901-B 11/2/2011) is incomplete and the applicant has not responded within seven (7) calendar days to the PTBC's request for additional information. (B) The applicant has failed to comply with a requirement of this Article or has committed any act that would constitute grounds for denial of an application for licensure by the Board. (C) The applicant does not possess a current valid and active license in good standing. The term "good standing" means the applicant: 1. Has not been charged with an offense for any act substantially related to the practice for which the applicant is licensed by any public agency. 2. Has not entered into any consent agreement or been subject to an administrative decision that contains conditions placed upon the applicant's professional conduct or practice, including any voluntary surrender of license. 3. Has not been the subject of an adverse judgment resulting from the practice for which the applicant is licensed that the Board determines constitutes evidence of a pattern of negligence or incompetence. (D) The Board has been unable to obtain a timely report of the results of the criminal history check for the applicant from the California Department of Justice. (2) The Board may deny a request for authorization to participate if any of the following occurs: (A) The request is received less than twenty (20) calendar days before the date on which the sponsored event will begin. (B) The applicant has been previously denied a request for authorization by the Board to participate in a sponsored event. (C) The applicant has previously had an authorization to participate in a sponsored event terminated by the Board. (D) The applicant has participated in three (3) or more sponsored events during the twelve (12) month period immediately preceding the current application. (d) Appeal of Denial. An applicant requesting authorization to participate in a sponsored event may appeal the denial of such request by following the procedures set forth in section 1399.99.4(d) and (e). (e) An out-of-state practitioner who receives authorization to practice physical therapy at an event sponsored by a local government entity shall place a notice visible to patients at every station where patients are being seen by a physical therapist. The notice shall be in at least 48-point type in Arial font and shall include the following statement and information: NOTICE I hold a current valid license to practice physical therapy in a state other than California. I have been authorized by the Physical Therapy Board of California to provide health care services in California only at this specific health fair. Physical Therapy Board of California 916-561-8200 www.ptbc.ca.gov