Facility Forms

Note: Facility registration for Occupational Therapy Facilities and Physical Therapy Facilities will no longer be required as of September 1, 2019 due to changes to the OT Practice Act and PT Practice Act that take effect that day.


 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.
  OT Consumer Notice Sign
  PT Consumer Notice Sign     
Therapist In Charge Form (PT/OT) Cancellation of Registration 
Facility Renewal Form (PT/OT) Ownership Information Form        
Facility Restoration Form (PT/OT)  
Facility Requirements  
Facility Name/Address Change or Certificate Replacement Request  






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ECPTOTE, 333 Guadalupe, Suite 2-510 • Austin, TX 78701-3942 • Phone: (512) 305-6900
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