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Commonly Requested Forms...
Application Forms:

The disciplines of Orthotics, Prosthetics and Pedorthics are regulated fields in the state of Ohio. Please be sure to download and complete all applicable forms listed under the profession for which you are applying.

Orthotics and/or Prosthetics:

Application for Licensure in Orthotics and/or Prosthetics 2013 revision

Criminal Records Check Instructions

Supervision Statement for O&P Applicants with Guidelines (required for Temporary license applications)

Pedorthics:

Application for Licensure in Pedorthics 2013 Revision

Criminal Records Check Instructions

Supervision Statement for Pedorthic Applicants with Guidelines (required for Temporary license applications)

Pedorthics Pre-certification Providers


License Reinstatement:

License Reinstatement Application 2014 Revision (For licenses lapsed more than two years)

Active Military & Veterans Benefits:

In an effort to promote opportunities for and inclusion of active military, veterans, and their spouses in the licensed occupational fields offered in Ohio, and in compliance with Am. Sub. House Bill 98, the State Board of Orthotics, Prosthetics and Pedorthics would like to ask you a few questions about your or your spouse's current or prior military service.

Completion of this document at the time of initial application may entitle you to certain licensure benefits, including but not limited to expedited processing of your application.

Active Military & Veterans Questionnaire - 2014 Revision

Complaint Form:

Complaint Form (PDF Version, for FAX or Postal Submission)

OPP Continuing Education Forms:
OPPCE Report Renewal Year 2015 (expiry 01.31.2015)
OPPCE Accrual Remediation Worksheet
Application for Approval of OPPCE Units for a Continuing Education Course not already approved by ABC, BOC or PFA
Application for Approval of OPPCE Credits for Teaching activities that comply with statutory requirements (see form for details)

Continuing Education Course Provider's Application to have a CE course you wish to offer approved for OPPCE credit

The State Board of Orthotics, Prosthetics & Pedorthics
Mark B. Levy, Director
77 S. High St., 18th Floor  •  Columbus, OH 43215-6108
Tel: (614) 466-1157   •  Fax: (614) 387-7347   •  Email Us