Get Application For Removal Or Modification Of A Term Or Limitation

Filling out the Application For Removal Or Modification Of A Term Or Limitation is an important step for members of the College seeking to modify conditions placed on their registration. This guide provides clear instructions on how to effectively complete the application online, ensuring that users can navigate the process comfortably.

Follow the steps to successfully complete your application.

1. Click the ‘Get Form’ button to access the application form. This will enable you to fill it out electronically on your computer.
2. Begin by entering your personal identification information in Section A. Fill in the date of the application, your name, and your autonomous practice certificate number.
3. In Section B, provide the wording of the term or limitation currently imposed on your certificate and the date on which this term or limitation was applied.
4. Section C requires you to demonstrate how your knowledge has increased since the term was imposed. Include details about formal coursework you have completed, such as the course title, institution, level of coursework, date taken, and name of the course instructor, along with their licensure status.
5. Continue in Section C by documenting additional coursework, directed readings, or workshops you have participated in. For each entry, describe how the content relates to the remediation of the term or limitation.
6. In Section D, provide information regarding skills augmentation through peer consultation or supervision. Include types and number of cases, name and licensure status of the consultant or supervisor, and a description of how this relates to the remediation.
7. Section E involves independent verification. List the names of members who will submit reports confirming that you meet the standard required for autonomous practice.
8. The final sections may ask for details related to an interview and the expected outcomes. Ensure you understand these components, as they may require additional preparation and documentation.
9. Once you have completed all sections, review your application for accuracy. Then, save your changes, and you have the options to download, print, or share the form as necessary.

Start managing your documents effectively and complete your application online today.