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Forms

PHONE:410-764-4787

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LICENSURE 
Practice Oriented Programs​ ​

Application​​​​​​​​     
Reference Coversheet - Pre-Internship and Pre-Doctoral Post Internship Supervision​​​
Reference Coversheet - Internship Supervision  ​​​
Reference Coversheet - Post-Doctoral Supervision​​        
General Reference Coversheet​​
Mobility Form
Application​​​   

 Non-Practice Oriented Programs

Application
Reference Coversheet - Pre-Doctoral Supervision​​       
Reference Coversheet - Post-Doctoral Supervision​​​         
General Reference Coversheet​​        

REGISTRATION
Psychology Associate
General Information for Psychology Associate Application​​        
Application for Psychology Associate Registration​​ ​       
Supervisory Form​​​​

LICENSED PSYCHOLOGISTS ONLY
Duplicate License Request​ 
Continuing Education Summary Sheet        
Reinstatement Application​        
Reactivation Application​​​​        
COVID 19 Temporary Exception to Practice Application​​
Ethics Trainer, Peer Supervisor Application​
Expert Application
Renewal Applications for Licensure

REGISTERED PSYCHOLOGY ASSOCIATES
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Registered PA Reinstatement Application​​
Renewal Application for PA
Update Forms
Name Change​​   
Change of Address ​​​​​​​​ ​  

 COMPLAINT FORM

Instructions for Filing a Complaint
Complaint Process
Complaint Form​​        ​ 
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