Certification Handbook and Forms

Certification Handbook
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Employment Verification Form
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Explanation of Direct Practice Experience Form
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Request for Accommodations – Candidate Form
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Request for Accommodations – Provider Form
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Examination Information Brochure
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Recertification Handbook and Forms

Recertification Handbook
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Employment Verification Form
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Consultation Verification Form
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Activities Supporting Professional Associations (Volunteer) Verification Form
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Chart Review Verification Form
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Mentoring Information and Verification Form
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Self-Assessment Verification Form
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In-Service Log for Category B Credit
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Recertification Information

Summary of Professional Development Activities Table
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Comprehensive Listing of Professional Development Activities
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Users Guide to Entering Professional Development Hours
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Others

Disciplinary Complaint Reporting Form
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