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 an asterisk (*) are required.

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Title*

Mr., Mrs., Dr.

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First Name*

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Last Name*

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Mailing Address*

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City*

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State*

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Zip Code*

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Country*

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Country Code*

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Phone Number*

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Work Phone Number*

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Email Address*

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How did you hear about the ASU Physical Therapy Program*

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Current Status*

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Undergraduate School*

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Undergraduate Major*

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Undergraduate Minor*

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Year of College Graduation*

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Undergraduate Coursework

(Number of credits completed and/or courses)

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GRE*

Yes

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GRE Score

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Graduate School

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Graduate Major

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Graduate Minor

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Year of Graduation

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Graduate Coursework

(Number of credits completed and/or courses)

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Appointment*

Advising

Tour

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Best means of contact*

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