JavaScript is required to use content on this page. Please enable JavaScript in your browser.
Active Licensed Psychologists
Reinstatement Application
Reactivation Application
Change License Status from Active to Inactive or Renew Current Inactive Status Form
Change of Address Form
Name Change Form
Mail or Email Verification Form
Duplicate Wall Certificate Form
Optional - Temporary Exception to Practice Application
Optional - Application for Board Approved Status
Psychology Interjurisdictional Compact (PSYPACT)
https://psypact.gov/
Notice of PSYCPACT Proposed Rulemaking (August 2025) Select Link
Active Psychology Associate Registrants
Associate Supervisory Form
Registered PA Reinstatement Application
Change of Address Form
Name Change Form
