Physical Therapy Continuing Education Course Registration
Please select your course title, course date and category. Fields marked with an asterisk * are Required



* Course Title  
* Course Date
* Category Rutgers Clinical Educator   --> input name of facility
  UMDNJ/Rutgers PT Alumni --> input your year of graduation
  APTA Members  
  All Others  
  Tuition  
* Last Name  
* First Name  
* Title  PT     DPT     PTA     PhD     Other  
* State & License #  
* Address  
* City  
* State  
* Zipcode  
* Phone  
* Email  

If you experience any problems submitting this form or completing the online payment, please contact the SHP Physical Therapy Continuing Education Administrator : mingelna@shp.rutgers.edu

Rutgers School of Health Professions
Physical Therapy Continuing Education