Get Wa Doh 670-064 2016
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How to fill out the WA DOH 670-064 online
This guide provides a thorough overview of how to complete the WA DOH 670-064 form, which is essential for the verification of supervised experience for certification as a chemical dependency professional. Whether you are an applicant or a supervisor, this step-by-step guidance will help ensure the form is accurately filled out.
Follow the steps to complete the WA DOH 670-064 form effectively.
- Press the ‘Get Form’ button to access the WA DOH 670-064 online version of the form.
- Fill out the applicant section, including your full name, birth date in mm/dd/yyyy format, address, city, state, zip code, and phone numbers (both personal and business) correctly.
- In the direct supervisor section, provide the supervisor's name, credential number, street address, city, state, and zip code. Ensure you enter the phone number in the 10-digit format.
- Next, indicate the period of supervised experience by entering the dates in mm/dd/yyyy format under the supervised experience section. This includes the 'From' and 'To' dates.
- Document the competencies gained during the experience, referencing WAC 246-811-047 to ensure compliance.
- Confirm the completion of the first fifty hours of face-to-face client contact, indicating whether it was under direct observation.
- The supervisor must sign and date the form, validating the information provided about the applicant's supervised experience.
- Indicate the total number of supervised experience hours in the specified section to complete this part of the form.
- Review all entered information for any errors and ensure compliance with the requirements laid out in the document.
- Once all sections are filled out correctly, you can save changes, download a copy of the form, print it, or share it as required.
Start filling out your WA DOH 670-064 form online today to streamline your credentialing process.
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In Washington State, it's possible to become a counselor without a traditional degree, but you must still meet the requirements set by WA DOH 670-064. Alternative pathways include gaining relevant experience and completing specific training programs. This flexibility opens doors for individuals motivated to help others overcome mental health and addiction issues.
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