Reflexology Registry

When completing the application process below, you will be required to submit an official transcript from the institution where you completed your education. The transcript must be mailed directly from the educational institution to the board office located at 665 Mainstream Drive, Nashville, TN 37243.

Applications

• Declaration of Citizenship (PH-4183, paper application)
• Declaration of Eligibility for Expedited Licensure Process for a Military Member, Paper application
• Declaration of Eligibility for Expedited Licensure Process for a Military Spouse Member, Paper application
• Name and Address Change Request (PH-3619, Paper applicaiton)
• Reinstatement Application (PH-4049, Paper application)
• Application and Procedures for Registration as a Reflexologist (PH-3712, Paper Application)
• Affidavit of Retirement From Practice in Tennessee (PH-3460, Paper application)