Forms

Important Note for New Applicants for a Regular License in Respiratory Therapy (LRT)

Current statute provides that all LRT's issued have the same expiration date regardless of issue date. The next expiration for all LRT's is 10/31/2019. Therefore, if you apply now for your LRT and receive it, it will be due to expire soon. If you are not planning on working until after 11/01/2019, your license issuance can be held if you request this in writing either with your application or e-mailed to asbrt@leadership-alliance.org. Otherwise, your new license can be issued upon completion of your application with the understanding that you will be scheduled to renew this license by 10/31/2019 and obtain 1 CE hour for each month you held this license (for example, if your new license is issued in June, you would need 5 hours of CE to renew in October for a five month license). The above information only applies to LRT's - not Temporary Licensees (temporary licenses for recent graduates expire 6 months from date of issuance).


License Lookup
Online License Renewal, including Address, Contact, Employment
Online RT License Application
Online Temporary License Application
Online License Verification
Online Reinstatement of LRT

Application for License in Respiratory Therapy (LRT) with Instructions and Checklist
Application for Temporary Respiratory Therapy License with Instructions and Checklist
Proof of Citizenship (POC) Form
Change of Information/Replacement License
NBRC Credentials Verification Request
Student Verification Form - Employer
Student Verification Form - Program Director
Verification of License from Other State
Complaint Form
CE Instructions
CE Report Form
Request Form for Licensee Mailing Addresses