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Get Ca Bbs Form 37a-639 2019-2025
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How to fill out the CA BBS Form 37A-639 online
Filling out the CA BBS Form 37A-639 is an essential step for associates seeking licensure. This guide provides clear instructions on completing the form online, ensuring you understand each section and field.
Follow the steps to accurately complete the form online.
- Press the ‘Get Form’ button to access the form and open it within your document management platform.
- Begin by entering your name in the fields provided. Include your last name, first name, and middle name as necessary.
- Input the supervisor's name and the name of your work setting accurately.
- Provide the address of your work setting, ensuring it is complete with street, city, and zip code.
- Indicate whether the work setting is a hospital or community mental health setting by selecting 'Yes' or 'No.'
- Specify your status when logging the hours by selecting 'Associate Application Pending' and complete the year and week fields.
- Record your experience hours in the respective categories: Individual Psychotherapy, Group Therapy, Telehealth Counseling, Workshops, Seminars, Training or Conferences, Psych Testing, Report Writing, Progress/Process Notes, Client-Centered Advocacy, Supervision (Individual or Triadic), and Supervision (Group).
- Calculate the total hours per week and write it in the designated space.
- The supervisor must sign the form in the area indicated.
- Indicate how many of the logged hours included working with couples, families, or children.
- Review the entire form for accuracy and completeness before proceeding.
- Once all fields are properly filled, you may save changes, download, print, or share the form as necessary.
Start filling out the CA BBS Form 37A-639 online today!
No, a California entity number is not the same as an Employer Identification Number (EIN). The entity number is specific to your business registration in California, while an EIN is a federal number assigned by the IRS for tax purposes. It's essential for processes involving CA BBS Form 37A-639 that you understand the difference between these two numbers.
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