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Thank you for your interest in having a physical therapy representative speak with your program or class. Please complete the information below in as much detail as possible. APTA staff will work to connect you with a physical therapy professional to serve as a speaker for your request. If you have any questions please reach out to

Please submit this form at least four weeks prior to the date a physical therapy representative is needed. APTA does not guarantee a representative; however, we will do our best to ensure that requests submitted a month prior to the date needed are fulfilled.

What area of the profession of physical therapy would you like to focus (select all that apply)
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