Board of Respiratory Care
Applications
► Applying for initial licensure from your professional licensing board has become a bit easier. For the past year, the Department of Health has been working on an online application process that will allow all health care professionals to apply online for an initial license and complete (and update as necessary) a practitioner profile mandatory for certain professions. The process is user friendly and convenient and even allows you to pay for your initial application utilizing a credit card, debit card or e-check. You will also be able to upload many of the documents required to complete your initial application! Please go to the initial application link below to begin the online process.
- Application and Instructions for Licensure as a Certified Respiratory Therapist or Registered Respiratory Therapist (PH-3117)
- Mandatory Practitioner Profile Questionnaire for Licensed Health Care Providers (PH-3585)
- Declaration of Citizenship (PH-4183)
- Declaration of Eligibility for Expedited Licensure Process for a Military Member (PH-4279)
- Expedited Licensure for Military Spouses Form (PH-4280)
- Application for Endorsement by the Board of Respiratory Care to Perform Polysomnography Services (PH-4110)
- Affidavit of Retirement From Practice in Tennessee (PH-3460)
- Name and Address Change Request (PH-3619)
- Reinstatement Application (PH-4049)