Resources

Please visit the link below to access any of the forms mentioned.

• Tn.Gov Massage Therapy Applications

This link includes forms for the following:

• • Declaration of Citizenship (PH-4183)
  • Reactivation of a Massage Establishment License (PH-3960)
  • Inactivation of a Massage Establishment License (PH-3959)
  • Application and Procedures for Licensure as a Massage Therapist (PH-3546)
  • Massage Establishment Licensure Application (PH-3495)
  • Massage Establishment Inspection Form (PH-3643)
  • Name and Address Change Request (PH-3619)
  • Reinstatement Application (PH-4041)
  • Affidavit of Retirement From Practice in Tennessee (PH-3460)
  • Mandatory Practitioner Profile Questionnaire for Licensed Health Care Providers (PH-3585)
  • Declaration of Eligibility for Expedited Licensure Process for a Military Spouse Member (PH-4280)
  • Declaration of Eligibilty for Expedited Licensure Process for a Military Member (PH-4279)