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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

Application Information for Assistant Applied Behavior Analyst (PDF 933.85 KB)
Applied Behavioral Analyst Application Checklist (PDF 508.98 KB)
Frequently Asked Questions New License Requirements for Applied Behavior Analysts and Assistant Applied Behavior Analysts (PDF 258.73 KB)
Application Information for Marriage and Family Therapist (PDF 1.02 MB)
Educational Psychologist Licensure Application (PDF 1 MB)
Application Information for Rehabilitation Counselor (PDF 942.08 KB)
Licensed Mental Health Counselor Application Guide (PDF 796.33 KB)
Frequently Asked Questions Regarding New Application Requirements for Licensed Mental Health Counselors (LMHC) (PDF 178.51 KB)
Wall Certificate Request Form (PDF 37.95 KB)
Health Care Fraud Complaint Application (PDF 23.18 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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