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Forms

 Make out checks to ECPTOTE and mail to: ECPTOTE, 333 Guadalupe St, Ste 2-510, Austin, TX  78701-3942.

 All forms on this page are pdfs.

PT Facility Application OT Consumer Notice Sign
OT Facility Application PT Consumer Notice Sign
Therapist In Charge Form (PT/OT)  
Facility Renewal Form (PT/OT)
Facility Restoration Form (PT/OT)  
Facility Requirements (PT/OT)  
Facility Name/Address Change or Replacement Request (PT/OT)  

 

 

 

 

 

 

 

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333 Guadalupe, Suite 2-510 • Austin, TX 78701-3942 • Phone: (512) 305-6900
Fax: (512) 305-6970 or (512) 305-6951 • info@ptot.texas.gov

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