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Kentucky Board of Examiners of Psychology

Board of Examiners of Psychology
Applications and Forms

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 Forms Library

 
  
  
  
  
Application for Licensure as a Psychological Associate.pdf
  
353 KB 9/7/2017 9:41 AM
Application for Licensure as a Psychological Practitioner.pdf
  
317 KB 9/7/2017 9:43 AM
Application for Licensure as a Psychologist by Reciprocity.pdf
  
270 KB 9/7/2017 9:44 AM
Application for Licensure as a Psychologist.pdf
  
370 KB 9/7/2017 9:44 AM
Application for Licensure of a Psychologist Licensed in Another State.pdf
  
269 KB 9/7/2017 9:45 AM
Continuing Education Program Application.pdf
  
173 KB 9/7/2017 9:48 AM
Continuing Education Sponsorship Application.pdf
  
380 KB 9/7/2017 9:48 AM
Form to File a Complaint.pdf
  
72 KB 11/7/2011 1:41 PM
Nonresident Psychologist Registration Form.pdf
  
107 KB 9/7/2017 9:46 AM
Open Records Request.pdf
  
35 KB 2/6/2012 2:34 PM
Recommendation for Licensure as a Psychological Practitioner.pdf
  
231 KB 9/7/2017 9:44 AM
Recommendation Form for Licensure as a Psychological Associate.pdf
  
166 KB 9/7/2017 9:43 AM
Recommendation Form for Licensure as a Psychologist.pdf
  
166 KB 9/7/2017 9:45 AM
Request for Change of License Status.pdf
  
181 KB 9/7/2017 9:47 AM
Request for Change of Supervisor andor Frequency.pdf
  
123 KB 9/7/2017 9:47 AM
Request for Extension of Temporary Licensure as a Psychological Associate.pdf
  
173 KB 9/7/2017 9:42 AM
Request for Extension of Temporary Licensure as a Psychologist.pdf
  
173 KB 9/7/2017 9:45 AM
Request for Mailing List.pdf
  
103 KB 1/2/2013 1:37 PM
Special Application.pdf
  
196 KB 9/7/2017 9:46 AM
Supervisor Recommendation for Licensure as a Psychological Practitioner.pdf
  
250 KB 9/7/2017 9:44 AM
Supervisory Plans and Goals.pdf
  
240 KB 9/7/2017 9:46 AM
Supervisory Report.pdf
  
195 KB 9/7/2017 9:47 AM