Psychologist

​​Additional Resources

Other Forms

Statutes and Administrative Code

Continuing Education Information

Exam Information

Offenses that May Result in Refusal, Bar, or Termination of Licensure

Related Links

Psychology Examining Board

Orders and Disciplinary Actions

Conviction Self Report

Professional Assistance Procedure

Monitoring

File a Complaint

Wisconsin Emergency Assistance Volunteer Registry (WEAVR)

Predetermination

Pursuant to 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.


License Information

Fee Reduction

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.

Per Wis. Stat. § 440.08 (2), the required renewal date for the Psychologist credential is 09/30/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.

Methods of Application (See application Form 634 for grid of requirements for each method.)

  • Exam: For applicants who do not currently hold a Psychology license. (A request for an interim psychologist license (Form 1634) must accompany an application for full licensure.)​ 
  • Reciprocity: Applicant holds a Psychologist license in another state or jurisdiction. (Information about reciprocity is available here​.)         
  • Late Renewal: Wisconsin license expired more than 5 years.

Pre-Credential Education Information

Applicant must have graduated from a regionally accredited institution with a doctoral degree in psychology.

Complete supervised experience.

  • One year of supervised experience following conferral of the doctoral degree. 
  • The person supervising the applicant must have a psychologist license. See Psy 2.09(3), Wis. Stats., for a more complete description of supervised experience requirements.

Application for Licensure

FormDescription
634Application for License to Practice Psychology
​3217​Application for Fee Reduction (If applying for a fee reduction, this form must accompany Form 634.)
2829Malpractice Suits or Claims Form (if applicable)
​2555​Verification of the Supervised Practice of Psychology
​​1634​
​Interim Psychologist License Request (Detailed information contained within form.)
​3085​Application for Predetermination
2252​Convictions and Pending Charges
3071​Fax Payment Form​

Renewal Information

Requirements

  • FEE (See Renewal Dates and Fees)
  • SIG (Signature regarding the completion of Continuing Education, included in on-line renewal and paper form see Continuing Education Information for details)
  • If your legal status as a qualified alien or nonimmigrant lawfully present in the United States has changed since the issuance of your credential or your last renewal, please contact the Wisconsin Department of Safety and Professional Services at (608) 266-2112 or dsps@wisconsin.gov.

  • PLEASE NOTE:  Attesting to being permanently retired during renewal waives the Continuing Education requirement, and updates the license status to "Non-Practicing" per PSY 4.02 (h)(i​​).  Non-practicing licenses are current, but not eligible for practice.  Non-practicing status must be renewed every biennium.

Renewal Methods

FormDescription
RDAFRenewal Dates and Fees
R210Active Duty/Discharge Renewal Extension

Wisconsin Act 210 (effective June 1, 2012)

This Act extends the license of a service member if the license expires while they are on active duty from 90 days to 180 days from the date of discharge. The same applies to a spouse of a service member if the spouse does not practice under their license while the service member is on active duty and does not practice because the service member is on active duty.

This Act repeals a provision of prior law that required a service member to meet all of the requirements for license extension or renewal, except for continuing education requirements, in order to have the license extended.

Service members and spouses may request extensions of licenses beyond 180 days from discharge and may request a waiver or extension of time to complete continuing education requirements due to hardship. Please view Active Duty/Discharge Renewal Extension Form #R210.