Follow the steps to successfully complete the CA BBS 37A-301 form online.

1. Press the ‘Get Form’ button to access the CA BBS 37A-301 form and open it in your online editor.
2. Begin by filling out the applicant's name in the designated fields, including last name, first name, and middle name.
3. Enter the associate number assigned to the applicant in the provided section.
4. In the supervisor information section, input the supervisor's last name, first name, middle name, business phone, and license type.
5. Complete the supervisor's license number and the date they were first licensed.
6. If applicable, answer the question regarding the supervisor's board certification in Psychiatry.
7. Indicate whether the applicant met the qualifications to treat couples and families during the supervision period.
8. Provide the name and address of the applicant’s employer, including the number and street, city, state, and zip code.
9. Answer yes or no to each question regarding the experience gained in specific settings.
10. Fill out the dates of experience being claimed, including the start and end dates.
11. Indicate the number of weeks of supervised experience being claimed.
12. List the total hours of direct counseling experience and note how many were focused on couples, families, and children.
13. Complete the section for total non-clinical experience and specify the hours of face-to-face supervision.
14. Ensure that all information provided is accurate and complete before proceeding to the next stage.
15. Obtain the supervisor's signature and date on the form and save any changes made. Finally, download, print, or share the form as necessary.

Complete and submit your CA BBS 37A-301 form online today to move forward in your licensure process.