Get The Commonwealth Of Massachusetts Division Of ... - Mass . Gov - Mass 2020

This guide provides comprehensive instructions on how to successfully complete the application for a license to practice psychology in Massachusetts. It is designed to assist users, regardless of their experience level, in navigating the application process seamlessly.

Follow the steps to complete your online application.

1. Click ‘Get Form’ button to obtain the form and open it for editing.
2. Begin by entering your full legal name as it should appear on your license.
3. Provide your permanent residence and telephone number. Remember, your permanent residence is your voting address.
4. Enter your business address and telephone number, ensuring you indicate where correspondence should be sent.
5. Include an optional email address for quicker communication regarding your application.
6. Fill in your date and place of birth in the designated fields.
7. Specify the type of license you are applying for by checking the relevant box.
8. List any existing licenses or certifications you hold, and attach the required certificate of standing.
9. Answer all questions truthfully, including any disciplinary actions or legal issues.
10. Document your educational background, listing your doctoral and other applicable degrees.
11. Identify the specific fields in psychology for which you are qualified to practice.
12. Detail your pre- and post-doctoral supervised experience by listing the facilities and hours worked.
13. Ensure all references for the Professional and Ethical forms are qualified and include their contact information.
14. Provide your signature under the penalties of perjury, and ensure it is notarized.
15. Attach a recent passport-sized photograph to the front of your application.
16. Collect all additional required documents in a large envelope, ensuring not to send photocopies or faxes.
17. Submit the application along with an application fee of $150.00 made out to ‘Commonwealth of Massachusetts-PY’.
18. Once all components are complete, you can save your changes, download the application, print it for mailing, or share it as needed.

Complete your application for licensure online today to start your journey towards becoming a licensed psychologist in Massachusetts.