Statutes, codes, and regulations
Virginia Administrative Code
Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSINGAgency 115 - BOARD OF COUNSELING
Chapter 80 - REGULATIONS GOVERNING THE REGISTRATION OF QUALIFIED MENTAL HEALTH PROFESSIONALS
Form - FORMS (18VAC115-80)

Va. Admin. Code tit. 18, agency 115, ch. 80, form FORMS (18VAC115-80)

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Current through Register Vol. 41, No. 2, September 9, 2024
Form - FORMS (18VAC115-80)

The following forms are available online only at https://www.license.dhp.virginia.gov/apply/:

Qualified Mental Health Profession-Adult, Application and Instructions

Qualified Mental Health Profession-Child, Application and Instructions

Supervised Trainee, Application and Instructions

Verification of Supervised Experience for a Qualified Mental Health Professional-Adult (QMHP-A) (rev. 11/2019)

Verification of supervised experience for a Qualified Mental Health Professional-Child (QMHP-C) (rev. 11/2019)

Verification of Internship/Practicum for a Qualified Mental Health Professional (QMHP) (rev. 11/2019)

Reinstatement Instructions for a Qualified Mental Health Professional-Adult (QMHP-A) (rev. 7/2020)

Reinstatement Instructions for a Qualified Mental Health Professional-Child (QMHP-C) (rev. 7/2020)

Va. Admin. Code tit. 18, agency 115, ch. 80, form FORMS (18VAC115-80)

Derived From Virginia Register Volume 36, Issue 04, eff. 11/13/2019.

Statutory Authority: §§ 54.1-2400 and 54.1-3505 of the Code of Virginia.