Masters Level Certified Addiction Professional OntheJob Supervision Verification Form DIRECTIONS This form allows for one qualified supervisor to document clinical onthejob supervision hours as required.

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How to fill out the FL MCAP On-the-Job Supervision Verification Form online

Completing the FL MCAP On-the-Job Supervision Verification Form is essential for documenting your clinical supervision hours for certification. This guide provides step-by-step instructions to ensure you fill out the form accurately and efficiently online.

Follow the steps to successfully complete the form online.

  1. Click ‘Get Form’ button to access the FL MCAP On-the-Job Supervision Verification Form.
  2. Begin with Part One, which is to be filled out by the applicant. You will need to provide your name, type of position, and employment dates in the format MM/DD/YYYY to MM/DD/YYYY. Ensure all information is typed.
  3. Once Part One is complete, provide the form to your qualified supervisor for them to complete Part Two. This section requires detailed supervisor information, including name, title, employer, contact details, and attestation of their qualifications.
  4. In Part Two, the qualified supervisor will also need to document hours of supervision across various performance domains. They should indicate the number of hours for individual and group supervision, ensuring that the total group supervision does not exceed 50% of the required hours.
  5. After the supervisor has filled in their information and hours of supervision, both the applicant and supervisor must sign the form. Digital signatures are acceptable.
  6. Finally, save the completed form. You can download it for your records, print it, or share it directly with the Florida Certification Board via email or fax as specified in the form.

Complete your FL MCAP On-the-Job Supervision Verification Form online today to advance your certification process.

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What is a MCAP in Florida?

The MCAP is an advanced practice credential for people who provide services to individuals with substance use conditions.

Individuals holding the MCAP are a qualified professional under Chapter 397, Florida Statutes. The MCAP credential meets the requirements for a Master's Level CAP who may make substance use disorder diagnosis in programs billed under Florida's State Medicaid Plan.

Florida MCAP 350-hour Required Content Training Application to Practice/Professional Readiness (64 hours) Case Management and Referral (15 hours) Client, Family, and Community Education (15 hours) ... Clinical Evaluation (35 hours) Clinical Supervision (16 hours) Counseling (50 hours) Documentation (15 hours)

The Master's Level Certified Addiction Professional (MCAP) designation is an advanced level professional substance abuse credential for those persons working in a licensed substance abuse disorder treatment program in Florida.

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