Section 4.01. Locum tenens license.

 

(1)  A person who holds a valid license to practice physical therapy issued by another licensing jurisdiction of the United States may apply to the board for a locum tenens license to practice physical therapy and shall submit to the board all of the following:

(a) A completed and verified application form.

(b) A letter of recommendation from a physician or supervisor or present employer stating the applicant's professional capabilities.

(c) A verified photostatic copy of a license to practice physical therapy issued to the applicant by another licensing jurisdiction of the United States.

(d) A letter from a physical therapist licensed in this state requesting the applicant's services, or a letter from an organization or facility in this state requesting the applicant's services.

(e) The required fees specified in s. 440.05 (6) , Stats.

(2)  The application and documentary evidence submitted by the applicant shall be reviewed by a member of the board, and upon the finding of the member that the applicant is qualified, the board, acting through the member, may issue a locum tenens license to practice physical therapy to the applicant.

(3)  The holder of a locum tenens license to practice physical therapy may practice physical therapy as defined in s. 448.56 (1) , Stats., providing the practice is confined to the geographical area for which the license is issued.

(4)  Except as otherwise ordered by the board, a locum tenens license to practice physical therapy shall expire 90 days from the date of its issuance. For cause shown to its satisfaction, the board may issue a locum tenens license for a period not to exceed 12 months. The locum tenens license is not renewable.

History: Cr. Register, September, 1995, No. 477 , eff. 10-1-95; am. (1) (e), Register, June, 1998, No. 510 , eff. 7-1-98.; r. (1) (d), Register, April, 2000, No. 532 , eff. 5-1-00; CR 03-020 : cr. (1) (d) Register April 2004 No. 580 , eff. 5-1-04; CR 12-002 : am. (4) Register August 2012 No. 680 , eff. 9-1-12.

Note

Application forms are available upon request to the board at 1400 East Washington Avenue, P.O. Box 8935, Madison, Wisconsin 53708. Microsoft Windows NT 6.1.7601 Service Pack 1