---
title: Physical Therapist Application Form Template | Healthcare Hiring | Paperform
description: Professional PT application form with state license upload, specialty certifications, EMR proficiency, scheduling preferences, and malpractice insurance verification. HIPAA-friendly template for clinics and hospitals.
url: "https://paperform.co/templates/physical-therapist-application-form"
type: static
generatedAt: "2026-03-28T00:44:48.855Z"
---

[← Back to free form templates](/templates/)    ![Physical Therapist Application Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/physical-therapist-application-form.png)
    [Preview](https://_preview.paperform.co/ai-template/physical-therapist-application-form) [Use this template for free](/create?ai-template=physical-therapist-application-form)    [Application Forms](/templates/category/applications/) [Staffing & Recruitment](/templates/industry/staffing-recruitment/)[Healthcare](/templates/industry/healthcare/)[Human Resources](/templates/industry/human-resources/) [HR Manager](/templates/role/hr-manager/)[Recruiter](/templates/role/recruiter/)[Physical Therapist](/templates/role/physical-therapist/)[Healthcare Administrator](/templates/role/healthcare-admin/)     About this free form template
### Streamline Your Physical Therapy Hiring with a Professional Application Form

Finding the right physical therapist for your clinic, hospital, or rehabilitation center requires gathering detailed professional credentials, licensure information, and work preferences—all while creating a positive first impression for qualified candidates. This **Physical Therapist Application Form** template from Paperform gives healthcare facilities a modern, compliant way to collect comprehensive applicant information in one beautifully designed, on-brand form.

#### Why Healthcare Facilities Choose This Template

Physical therapy practices, orthopedic clinics, sports medicine centers, and hospital rehabilitation departments need to verify state licenses, specialty certifications, malpractice insurance, and technical proficiencies before moving candidates forward. Traditional paper applications or generic forms often miss critical details, creating back-and-forth delays that can cost you top talent in a competitive hiring market.

This template is purpose-built for healthcare HR teams and practice managers who need to:

 - **Verify professional credentials quickly** with dedicated fields for state PT license numbers, expiration dates, and document uploads
 - **Assess specialty qualifications** including certifications in sports therapy, geriatrics, pediatrics, orthopedics, and neurological rehabilitation
 - **Match candidates to your tech stack** by capturing EMR system experience (WebPT, Clinicient, EPIC, Cerner, and more)
 - **Understand scheduling preferences** with clear PRN, part-time, and full-time availability options
 - **Ensure proper coverage** by collecting current malpractice insurance details and policy information
 - **Create a professional candidate experience** that reflects your facility's commitment to quality care

#### What Makes This Physical Therapy Application Form Different

Unlike basic job application forms, this template captures the specific licensure, certification, and insurance requirements that physical therapy employers must verify. You'll collect state license documentation, specialty credentials, EMR proficiency levels, shift preferences, and malpractice coverage details—all in a single, mobile-friendly form that respects the applicant's time while giving you the complete picture.

The form includes conditional logic to adapt based on the candidate's experience level and specializations, ensuring you only ask relevant follow-up questions. Whether you're hiring for outpatient orthopedics, inpatient acute care, pediatric therapy, or home health services, this template gives you the flexibility to capture what matters most for your specific setting.

#### Key Features for Physical Therapy Employers

**Professional Credential Management**: Dedicated upload fields for state PT licenses, specialty certifications (OCS, SCS, GCS, NCS, WCS, PCS), and professional liability insurance documentation keep all required paperwork organized in one place.

**EMR System Compatibility Check**: Built-in questions about electronic medical record system experience help you identify candidates who can hit the ground running with your existing documentation workflow, reducing onboarding time and training costs.

**Flexible Scheduling Assessment**: Capture whether candidates are seeking full-time, part-time, or PRN (per diem) positions, along with preferred shifts, weekend availability, and start date—critical details for staffing coordinators managing complex clinic schedules.

**Specialty and Clinical Experience**: Detailed questions about treatment specialties, patient populations, and clinical settings (outpatient, acute care, skilled nursing, home health, school-based) help you match therapists to your facility's specific needs.

**Compliance-Ready Structure**: The form's professional layout and comprehensive credential collection support your facility's credentialing and privileging requirements, making it easier to move qualified candidates through your hiring workflow.

#### Perfect for Healthcare Facilities Across Settings

This template serves **physical therapy clinics, hospital rehabilitation departments, sports medicine centers, orthopedic practices, home health agencies, skilled nursing facilities, and school systems** looking to professionalize their PT hiring process. Whether you're a single-location private practice or a multi-site healthcare system, the form scales to your needs.

**For private practice owners and clinic managers**, this application form reduces administrative burden by collecting everything you need upfront—no more chasing candidates for missing license copies or insurance certificates. You'll know within minutes whether an applicant meets your basic credentialing requirements before investing time in phone screens or interviews.

**For hospital HR departments and healthcare recruiters**, the structured data collection integrates seamlessly with your applicant tracking systems through Paperform's native integrations or **Stepper workflows** that can automatically route applications to hiring managers, create candidate profiles in your ATS, and trigger background check processes.

**For therapy staffing agencies**, the form's flexibility allows you to assess candidates for multiple facility types and settings, building a comprehensive profile that helps you match therapists to the right opportunities quickly.

#### Automate Your Physical Therapy Hiring Workflow

Paperform doesn't just collect applications—it powers your entire recruitment process. Use **conditional logic** to show specialty-specific questions only when relevant, route applications to different department heads based on preferred setting (outpatient vs. acute care), or trigger different follow-up emails for qualified versus not-yet-qualified candidates.

With **Stepper** (stepper.io), Paperform's AI-native workflow automation platform, you can build sophisticated hiring workflows that handle the repetitive work:

 - Automatically check submitted license numbers against state verification databases
 - Create candidate profiles in your ATS or HRIS system (BambooHR, Greenhouse, Workday)
 - Send applications for reference checks and background screening
 - Notify hiring managers in Slack or Microsoft Teams when qualified candidates apply
 - Schedule initial phone screens based on recruiter availability
 - Track candidate progress through your hiring pipeline without manual data entry

These automations mean your HR team spends less time on administrative tasks and more time engaging with the physical therapists who will deliver exceptional patient care.

#### Secure, Compliant Data Handling

Healthcare recruitment involves sensitive professional and personal information. Paperform is **SOC 2 Type II certified** and provides the security controls healthcare organizations require. Set up role-based access so only authorized team members can view applications, use **data residency controls** to keep information in your preferred region, and leverage **SSO (Single Sign-On)** for secure team access.

All file uploads are encrypted and securely stored, giving candidates confidence that their license documents, certifications, and insurance information are protected. You can also set up automated retention policies to ensure application data is handled according to your organization's compliance requirements.

#### Customization That Matches Your Facility

While this template includes all the essential fields for physical therapy hiring, Paperform's document-style editor makes it simple to add your facility's logo, adjust brand colors, include photos of your therapy gym or team, or add specific questions about your unique treatment philosophy or patient populations.

Need to collect additional certifications like LSVT for Parkinson's patients, CIMT for neurological conditions, or dry needling credentials? Just type them in. Want to ask about experience with specific patient populations or treatment modalities? Add custom questions in seconds without touching code.

#### Get Started in Minutes

This Physical Therapist Application Form template is ready to use immediately—no setup required. Simply customize the fields to match your facility's specific requirements, add your branding, and share the form link on your careers page, job boards, or in recruitment emails. Applications start flowing in instantly, with all data organized in Paperform's submission dashboard for easy review, export, and integration with your existing hiring tools.

Whether you're filling a single opening or building your therapy team for a new facility, this template helps you collect complete, accurate information from qualified candidates while showcasing your organization's professionalism. Get the details you need to make confident hiring decisions, reduce time-to-hire, and build a physical therapy team that delivers outstanding patient outcomes.

**Trusted by healthcare facilities nationwide, this template combines comprehensive credential verification with the candidate experience that top physical therapists expect—all on Paperform's secure, SOC 2 Type II compliant platform.**
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