Online Form 1 - Application for Licensure for Respiratory Therapy Technicians
All applicants for licensure must initially submit Form 1 along with the the $294 licensure and registration fee for Respiratory Therapist or $154 for Respiratory Therapy Technician. You must answer all questions and provide all information requested unless otherwise indicated. Failure to accurately complete all required parts of the application will delay its review. Additional forms below are required based on the licensure requirements of the profession. Do not use Form 1 to renew your existing license.
Continuing Your Application
If you have started an application within the past 30 days, and have not yet completed it, you can use this link to continue your application. You will need your Application ID, Social Security Number, and Date of Birth.
Upload Additional Documentation
If you have already completed an application, but you have additional documents or files to include in your previous submission, use this link to upload additional documentation. You will need your Application ID and Date of Birth.
Form 2 - Certification of Professional Education
This form must be submitted directly by the professional school.
- Section I: Complete this section of the form before sending it to your school. Please be sure to sign and date item 9.
- Section II: The Registrar or appropriate school official must complete this section and return the form directly to the Office of the Professions at the address at the end of the form. For graduates of NYS licensure qualifying or CoARC accredited programs, Part B, Section I must be completed. For graduates of non-NYS licensure-qualifying or non-CoARC accredited programs and for technician graduates applying for licensure in respiratory therapy, Part B, Section II must be completed and official transcripts and other needed documents submitted.
Form 3 - Verification of Other Professional Licensure/Certification
Complete this form if you hold, or ever held, a license or certificate to practice any profession* in any jurisdiction.
This form must be submitted directly by the licensing/certifying authority. The Office of the Professions will not accept this form if submitted by the applicant.
- Section I: Complete this section before sending the entire form to the appropriate licensing/certifying authority. Be sure to sign and date item 9. A separate Form 3 must be submitted for all licenses/certificates you have ever held except those issued by the New York State Education Department.
- Section II: The licensing/certifying authority must complete this section, sign, date and return both pages of the form directly to the Office of the Professions at the address at the end of the form.
NOTE: A Form 3 is not required for licenses/certificates issued by the New York State Education Department. Also, If the certification/verification documentation provided by a U.S. jurisdictions contains the same information requested in the Form 3, completion of a Form 3 for that jurisdiction is not necessary. For certification/verification documentation that does not contain the same information, a Form 3 will need to be completed for that jurisdiction.
*Profession is defined as professional titles licensed under New York State Education Law.
Online Form 5 - Application for Limited Permit for Limited Permit for Respiratory Technician
All applicants for a limited permit must initially submit Form 5 along with the $50 permit fee. You must also submit a Form 5CS - Certification of Supervisor for Limited Permit along with your application.
Continuing Your Application
If you have started an application within the past 30 days, and have not yet completed it, you can use this link to continue your application. You will need your Application ID and Date of Birth.
Upload Additional Documentation
If you have already completed an application, but you have additional documents or files to include in your previous submission, use this link to upload additional documentation. You will need your Application ID and Date of Birth.
Changes to Supervisors and/or Settings
If you change supervisors and/or settings, or you have to add or remove a supervisor or setting, after a permit is issued, you must obtain an amended permit using the Limited Permit Change Form. After changes are processed you will receive an amended permit. A fee is not required for an amended permit issued as a result of a change in supervisor or setting. You must also submit a Form 5CS - Certification of Supervisor for Limited Permit for each new supervisor you are adding (see Upload Additional Documentation above).