FORMS
Application for Psychology License
Conditional RX Supervised Hours Form
Criminal Conviction Disclosure Form
Evaluation and Accreditation of Supervised Internship
Evaluation and Accreditation of Supervised Practice
Evaluation of Supervised Experience form
Inquiry on Impact of Conviction Form
Interstate Mental or Behavioral Telehealth Registration
Name and Address Change Affidavit
Prescribing Psychologist Certification Application
Prescribing Psychologist Provisional Application
Request for Official License Certification form
LINKS and OTHER INFORMATION
The following list includes web page links or other information regarding professional, educational, and governmental entities that may be of interest.
Association of State and Provincial Psychology Boards (ASPPB)
P.O. Box 4389
Montgomery, AL 36103
Phone: (334) 832-4580
Fax: (334) 269-6379
American Psychological Association
750 First Street, NE
Washington, DC 20002
(202) 336-5500
Ethical Standards as adopted by Board Rule
Idaho Psychological Association
P.O. Box 1347
Eagle, ID 83616
(208) 454-5594
National Register of Health Service Providers in Psychology
1120 G Street, NW, Ste 330
Washington, DC 20005
Phone (202) 783-7663
Fax (202) 347-0550
PSYPACT – Psychology Interjurisdictional Compact
Phone (678) 216-1175
Email info@psypact.org