offered by
Division of Professional Licensure
related to
Allied Mental Health Professions Licensing

Allied Mental Health Applications and Forms

As of January 1, 2010 all licensure applications must include two professional references on forms furnished by the Board for such purpose.
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Table of Contents

Assistant Applied Behavior Analyst Application (PDF 501.4 KB)
Applied Behavior Analyst Application (DOCX 84.75 KB)
Frequently Asked Questions Regarding New Application Requirements for Licensed Mental Health Counselors (LMHC) (PDF 178.51 KB)
Frequently Asked Questions New License Requirements for Applied Behavior Analysts and Assistant Applied Behavior Analysts (PDF 258.73 KB)
Marriage and Family Therapists Licensure Application (PDF 412.83 KB)
Educational Psychologists Licensure Application (PDF 553.1 KB)
Rehabilitation Counselors Licensure Application (PDF 535.3 KB)
Wall Certificate Request Form (PDF 37.95 KB)
Health Care Fraud Complaint Application (PDF 23.18 KB)
Mental Health Counselor Application (PDF 677.23 KB)
Mental Health Counseling Exam Registration  
Change of Name or Request for Duplicate License for Board of Registration of Allied Mental Health and Human Services Professionals  
DPL CORI - All Boards (PDF 369.55 KB)
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