Application for Registration for Extended Access Licence Subscription Personal Info - SCPT | Saskatchewan College of Physical Therapists

Application for Registration for Extended Access Licence Personal Info

Extended Access License
13.1(1) An extended access member who submits a completed application in the form provided by the college is eligible to obtain an extended access license.

(2) A member who holds an extended access license may only provide physical therapy services, using information and communication technologies or in person, to patients located in Saskatchewan:

(a) for the purpose of continuing to provide patient care to patients whose physiotherapy began in the primary jurisdiction and who would benefit from continued and time-limited service in the secondary jurisdiction; or

(b) where services are not otherwise available in the secondary jurisdiction and the patient would benefit from such services.

(3) For the purposes of this section:

(a) “primary jurisdiction” means the other Canadian jurisdiction in which the member is currently registered and in which the majority of their practice is physically situated;

(b) “secondary jurisdiction” means Saskatchewan.

Please complete the following:

First Name *

Surname *

Birth Date

Primary Address

Address Line 1

Address Line 2

City

Country

Province/State

Postal/Zip

Primary Email *

SPECIALIZED PROCEDURES CERTIFICATION INFO

Acupuncture

Dry Needling

Pelvic Health

Manipulation

Post-Professional Manipulation

Entry to Practice Manipulation

Conditions on Practice Licence

Min. 6 characters required for username and password

Username *

Password *

Password Confirmation *