Orthotists and Prosthetists Forms
Apply or renew online, check license status, search for a license, or file a complaint
Practitioner License
License Application (PDF)
Occupational License Application Claiming to Have No Social Security Number
Assistant License
License Application (PDF)
Supervision Agreement (PDF)
Verification of Experience (PDF)
Student Registration
License Application (PDF)
Supervision Agreement (PDF)
Uniquely Qualified Person
License Application (PDF)
Professional Reference (PDF)
Attestation of Experience Providing Extensive Orthotic Care (PDF)
Attestation of Experience Providing Extensive Prosthetic Care (PDF)
Facility Accreditation
Facility Accreditation Application (PDF)
OPS-LIC-008-E - Change of On-Site Practitioner in Charge (PDF)
Change of Facility Safety Manager (PDF)
Facility Name Change and Duplicate License Request (PDF)
Other Forms
Change of Information or Duplicate License
Notice of Change and Duplicate License (PDF)
Expired License Renewal
Request to Executive Director for Expired License Renewal (PDF)
Disciplinary Action and Criminal History
Disciplinary Action Questionnaire (PDF)
Criminal History Questionnaire (PDF)
Criminal History Evaluation Letter
Misc. Forms
Military Service Member, Military Veteran, or Military Spouse Supplemental Application (PDF) - see Military Spouse Frequently Asked Questions
TDLR Complaint Sign (PDF)
Expert Witness Application
