Printable Forms

You will need the following forms as part of your application materials for the Physical Therapy Program:

• Prerequisite Course Worksheet
• Patient Care Experience Form
• Instructions for Writers of Recommendation Letters
• UW-Madison Physical Therapy Program Application
• UW-Madison Application
• UW-Madison Record of Residence

Printable versions of each form are available here. You need Adobe Acrobat® Reader to view, use and print these forms.

Be sure to use the print button within the Acrobat Reader window to print all forms. Using print commands from your browser will NOT print the forms properly and may cause your browser to crash.

The Program is not yet able to support electronic applications, however these forms can be filled out and printed from a computer. Hard copies then need to be mailed with the rest of your application materials. We are supplying Adobe fillable forms, meaning you can click on the areas with your mouse needing information and complete using your computer. If you do not own a full (paid) copy of Adobe you can not save these forms on your computer but you can fill them in and print. If you prefer you can still print and fill them in by hand. Please contact us if you have any questions or problems using the forms.

View printable versions of:

Adobe Fillable Forms (pdf)

• Prerequisite Course Worksheet
• Patient Care Experience Form
• Instructions for Writers of Recommendation Letters
• UW-Madison Physical Therapy Program Application
• UW-Madison Record of Residence
• UW-Madison Application
  (IMPORTANT: This version of the UW-Madison Application is the only one accepted by the Program. Do not submit other UW-Madison Applications downloaded from the UW, Graduate School, or School of Medicine and Public Health web site!)

Standard Adobe Non-Fillable Forms (pdf)

• Prerequisite Course Worksheet
• Patient Care Experience Form
• Instructions for Writers of Recommendation Letters
• UW-Madison Physical Therapy Program Application
• UW-Madison Record of Residence
• UW-Madison Application
  (IMPORTANT: This version of the UW-Madison Application is the only one accepted by the Program. Do not submit other UW-Madison Applications downloaded from the UW, Graduate School, or School of Medicine and Public Health web site!)

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Physical Therapy - University of Wisconsin Department of Orthopedics & Rehabilitation
First published: 01/01/04 Last updated: 08/27/08 webmaster@surgery.wisc.edu
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