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Kentucky Board of Licensure for Massage Therapy

Board of Licensure for Massage Therapy
Applications and Forms

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Note: The documents on this page are in Adobe Acrobat (PDF) format. Please click on the following link to download a free copy of Adobe Acrobat Reader.

Effective February 2016, a recent, 2x2, passport quality photograph must be attached to all initial and renewal applications.

Click on this link to request your FBI background check: As stated, the Board is granting amnesty until Sept. 30, 2016.  The current processing time to receive your background check back is 13-15 weeks.  You will need to request your background check several months in advance of applying.

The regulations for the Kentucky Board of Licensure for Massage Therapy were recently changed to require an FBI Background Check under 201 KAR 42:035 for initial applicants for licensure, and under 201 KAR 42:040 for applicants for renewal who have been convicted of a felony during the previous licensure period.  However, the Board is extending an amnesty period waiving the FBI Background Check expiring on Sept. 30, 2016.
The Board has been made aware that until recently, the Rules and Regulations booklet posted on the Board website contained the repealed laws and did not give applicants sufficient notice of the law change.  Due to this error, the Board will temporarily waive the FBI background check requirement.  The posted Rules and Regulations booklet was recently updated.  But applicants for initial licenses and renewals may submit an application without the required FBI background check up to Sept. 31, 2016.  Any application filed after Sept. 30, 2016 for an initial license, or for renewal of a licensee convicted of a felony during the previous license period, must comply with the FBI Background Check requirement. 
The applications and forms for initial license and renewal for the Board of Licensure for Massage Therapy are available below.  The application shall be completed in its entirety and submitted to this office with the required payment by check or money order made payable to the Kentucky State Treasurer. An application must be submitted on or before Sept. 30, 2016 to qualify for the FBI Background Check amnesty period.
If you have further questions please contact Board Administrator, Jessica Parker, via email at 






 Form Library

Application for Inactive Status.pdf
341 KB 3/23/2016 10:28 AM
Application for Initial Licensure and Endorsement as a Massage Therapist.pdf
2862 KB 11/22/2016 2:52 PM
Application for Renewal of a Certificate of Good Standing.pdf
310 KB 3/23/2016 10:29 AM
Continuing Education Approval Form.pdf
29 KB 4/28/2011 9:25 AM
55 KB 3/7/2018 8:27 AM
Form to File a Complaint.pdf
58 KB 4/28/2011 9:25 AM
New Certificate of Good Standing Form.pdf
237 KB 3/23/2016 10:30 AM
Open Records Request.pdf
35 KB 6/4/2012 9:44 AM
Request for Mailing List.pdf
103 KB 1/2/2013 1:51 PM
Short form for Renewal of Certificate of Good Standing.pdf
295 KB 3/23/2016 10:31 AM
Unlicensed Activity Report.pdf
74 KB 4/28/2011 9:25 AM