BOARD of ATHLETIC TRAINERS
ATHLETIC TRAINER PRACTICE CHANGE FORMS Allied Health Licensing Manager: Jodi Adcock
No practice is permitted prior to approval.
Licensees are advised not to enter irrevocable contracts, purchase or sales agreements, on the assumption that approval will be granted.
Practice Change Applications must be on current forms provided by the Board or they will be returned.
**Processing time is dependent on the licensee and proper submission of the required documentation.
Idaho Code (IDAPA 22.01.10.013) requires each licensed athletic trainer to notify the Board of Medicine within thirty (30) days of any change in the status of their directing physician. Failure to do so may result in disciplinary action.
Directing Physician Registration Form & AT Service Plan or Protocol Forms