Jurisprudence Exam Access Request

To request access to complete the Kentucky Jurisprudence Exam as a Compact Privilege candidate, please submit the following information to the Kentucky Board of Physical Therapy .

Contact Information

* License Type

PTA

* First Name

Middle Name

* Last Name

* Last 5 of SSN

Kentucky Worksite Name

Kentucky Worksite Address 1

Kentucky Worksite Address 2

Kentucky Worksite City

Kentucky Worksite State

Kentucky Worksite Zip

* Email Address

* Phone Number

Ex: 555-555-5555

* Home Address 1

Home Address 2

* Home City

* Home State

* Home Zip