Hawaii Administrative Rules
Title 16 - DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS
Chapter 110 - PHYSICAL THERAPY
Subchapter 5 - TEMPORARY LICENSE
Section 16-110-40 - Requirements for temporary physical therapist license
Current through August, 2024
(a) An applicant for a temporary license who has applied for a permanent license, shall provide the board with:
(b) The applicant shall submit to the board a completed Statement of Supervising Licensed Physical Therapist, on a form prescribed by the board, from each proposed supervising physical therapist, to verify that each supervising physical therapist shall provide supervision to the applicant. The Statement of Supervising Licensed Physical Therapist shall indicate the name of the applicant, the name and license number of each supervising physical therapist, the date when the supervision shall commence, and shall be signed by each supervising physical therapist. The temporary licensee shall be supervised throughout the period of temporary licensure by a physical therapist holding a permanent active license.
(c) An applicant may submit a written request to the board for a change in supervising physical therapist. The request shall include the reason for the change, the date of change, and a Statement of Supervising Physical Therapist from the new proposed supervising physical therapist. The request shall be signed by the applicant, new proposed supervising physical therapist, and the immediate prior supervising physical therapist, unless the applicant can provide adequate documentation to establish that the immediate prior supervising physical therapist cannot be contacted.
(d) Except as provided herein, a temporary license shall expire within six months of its effective date or be terminated at an earlier date upon any of the following:
(e) The six month period for a temporary license may be extended to one year by the board for good cause. Only one temporary license will be issued per applicant.
(f) A temporary license shall not be issued to a person who is not authorized to work in the United States.
The amended version of this Section by Hawaii Administrative Rules Listing of Filings, 2015-01, February, eff.2/28/2015 is not yet available.