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Board of Respiratory Care Practitioners - Applications & Forms

CRIMINAL BACKGROUND CHECK - Effective July 1, 2008 the Criminal Background Check fee will increase from $15.00 to $21.00.

Applications

• Associate Permit Application
• Reinstatement Application
• Respiratory Care Therapist Application
• Respiratory Care Technicians Application
• Respiratory Care Trainees Application
• Temporary Technicians Application

 

Forms

• Verification of Licensure Request Form
• Replacement License Request Form
• Notice to all applicants regarding HIPDB/NPDB reports **
• Credit Card Authorization Form
  To authorize payment of fees by Visa or MasterCard.

** What is a HIPDB/NPDB Self Query?

If you cannot find the what you are looking for, click HERE to send an e-mail message to the Board of Respiratory Care Practitioners.

 

 

 

Last Updated: September 26, 2008

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