Texas Board of Orthotics and Prosthetics Application Forms

Application Packet

• Application Packet (View or print in Word format, 217 KB)
• Application Packet (View or print in Adobe Acrobat format, 318 KB)

Individual Renewal Form

• View and print in Adobe Acrobat, 22 KB
• Download in MS Word, 46 KB

Facility Application Form

• Facility Application Form (View or print in Word format, 116 KB)
• Facility Application Form (View or print in Adobe Acrobat format ,149 KB)

Facility Renewal Form

• View and print in Adobe Acrobat, 23 KB
• Download in MS Word, 39 KB

Change of On-Site Practitioner in Charge Form

• View and print in Adobe Acrobat, 18 KB
• View and print in Word Acrobat, 32 KB

Online Search Verification

• Link to Online License Search Verification

Complaint Form and Instructions

• Download a copy of the complaint form and instructions

Residency Verification Form

• View and print Adobe Acrobat format, 313 KB
• View and print Word format, 90 KB

Verification of Work Experience Form

• View and print in Adobe Acrobat format, 59 KB
• View and print in Word format, 318 KB

To access documents in Adobe Acrobat format, you must download the Acrobat Reader software. Please see the DSHS file viewing page for more information and a link to the Adobe website.