Contact the Department of Physical Therapy

For more information about the Doctor of Physical Therapy Program, to set up an advising appointment, or tour our facilities, please fill out the information request form below.

All fields marked with asterisk (*) are required.

required text field

Title*

Mr., Mrs., Dr.

required text field

First Name*

required text field

Last Name*

required text field

Mailing Address*

required text field

City*

required text field

State*

required text field

Zip Code*

required text field

Country*

required text field

Country Code*

required text field

Phone Number*

required text field

Work Phone Number*

required email address field

Email Address*

required textarea field

How did you hear about the ASU Physical Therapy Program*

required select menu field

Current Status*

required text field

Undergraduate School*

required text field

Undergraduate Major*

required text field

Undergraduate Minor*

required text field

Year of College Graduation*

textarea field

Undergraduate Coursework

(Number of credits completed and/or courses)

required radio button field

GRE*

Yes

text field

GRE Score

text field

Graduate School

text field

Graduate Major

text field

Graduate Minor

text field

Year of Graduation

textarea field

Graduate Coursework

(Number of credits completed and/or courses)

required radio button field

Appointment*

Advising

Tour

required text field

Best means of contact*

Link (required)