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Marriage and Family Therapist - Application Forms

Application by Examination, Reciprocity, Temporary License, or Training License
Form # Title/Description
1973  Marriage and Family Therapist License/Training License Application  
2921  Application to Renew Current Marriage and Family Therapist or Professional Counselor Training License 
2238  Marriage and Family Therapist Curriculum Requirements Form (Not required if related degree AND coursework is completed at an approved Post-Graduate Training Institute for Marriage and Family Therapy.)
2571  Employment Form for Supervised Marriage and Family Therapy Practice  (for training license only)
2574  Marriage and Family Therapist Supervised Practice Experience Form (Not required for training license or reciprocal license. Submit this form once supervised practice is complete.)
1972  Marriage and Family Therapists Certificate of Professional Education Form (not required for reciprocal license)
2252 Convictions and Pending Charges
2829 Malpractice Suits or Claims Form (If applicable)  
3071 Fax Payment Form 
 
Application For Psychometric Testing
Form # Title/Description
2579  Affidavit of Supervisor in Support of Application to Engage in Psychometric Testing
2578  Application to Engage in Psychometric Testing 
 
Application for Substance Abuse Specialty Authorization
Form # Title/Description
2711 Application for Substance Abuse Specialty Authorization  
2712 Affidavit Regarding Supervised Experience for Substance Abuse Specialty Authorization  
2714  Substance Abuse Specialty Authorization Education and Training Form (for Master degree applicants)
2713  Substance Abuse Specialty Authorization Education and Training Form (for Bachelor degree applicants)