2017 Wisconsin Act 278, beginning August 1, 2018, prior to submitting an application for a credential, an individual may apply to the Department for a determination of whether the individual would be disqualified from obtaining the credential due to his or her conviction record. To apply for a predetermination, please fill out
Form #3085 and submit all required documentation specified on the form. Pursuant to
Wis. Stat. §
111.335(4)(e), the offenses or kinds of offenses that may result in a refusal, bar, or termination of licensure are published under Additional Resources on the left side of this page.
Pursuant to 2017 Wisconsin Act 319, beginning August 1, 2018, an applicant for an initial credential may apply for a reduction of the initial credential fee that is equal to 10% of the initial fee. Qualification is based on the federal adjusted gross income being at or below 180% of the federal poverty guideline prescribed for the applicant's family household size by the United States Department of Health and Human Services. To determine eligibility please visit the United States Department of Health and Human Services website at https://aspe.hhs.gov/poverty-guidelines, prior to submitting Form 3217.
Wis. Stat. § 440.08 (2), the required renewal date for the Dance Therapist credential is 09/30/even odd years. Should you receive your initial credential in the months leading up to this date, you are still required to renew your license by the statutorily defined date.
Applicants must be certified, registered or accredited as Dance Therapists by the American Dance Therapy Association or another national organization that certifies registers or accredits Dance Therapists.
In order to practice psychotherapy, a registered dance therapist must submit an application for psychotherapy and provide evidence of additional qualifications. The state examination must be passed prior to taking the National Exam.
Pre-Credential Education Information
A Master's degree in dance therapy from an accredited university and a program that is approved by the American Dance Movement Therapist Association (ADTA). Candidates with a masters or doctoral degree in a human services-related field may be eligible for licensing through an alternate route approved by the ADTA.
Application for Licensure
2427||Application for Music, Art or Dance Therapist Registration|
|3217||Application for Fee Reduction (If applying for a fee reduction, this form must accompany the application for the credential.)|
2426||Request for Verification of Certification, Registration or Accreditation (Complete this form and forward to the organization where you are Certified, Registered, or Accredited.)|
2829||Malpractice Suits or Claims Form (if applicable)|
3085||Application for Predetermination (Submit ONLY if you have been convicted of any felony, misdemeanor, or other violations of federal, state, or local law, including municipal ordinances, in this state or any other)|
2252||Convictions and Pending Charges|
3071||Fax Payment Form|
Application for License to Practice Psychotherapy
2575||Music, Art, or Dance License to Practice Psychotherapy Application|
2585||Certificate of Professional Education (This form must be completed by your school and sent directly to the Department.)|
2586||Affidavit of Supervisor|