PTA Recognition Recommendation Forms

Please complete the PTA Recognition recommendation forms below. Be sure to add supportive comments in the additional comment area below the table.

Form D:  Supervising Physical Therapist Reference (.doc) | Academic Administrator Reference - For Education Applicants Only (.doc)

General Reference (Form E) (.doc) 

Save the completed forms and e-mail to PTARecognition@apta.org.

Questions should be directed to Janet Crosier, PT, DPT, MEd, at PTARecognition@apta.org or by calling 703/706-8514 or 808/756-9139. Thank you for your support.

  • Last Updated: 1/15/2013
  • Contact: pta@apta.org
  • Members Only = Members Only
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American Physical Therapy Association | 1111 North Fairfax Street, Alexandria, VA 22314-1488 703/684-APTA (2782) | 800/999-2782 | 703/683-6748 (TDD) | 703/684-7343 (fax)