64B4-3.001: Verification of Supervised Experience for Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling Applicants
64B4-3.0015: Verification of Supervised Experience for Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling Applicants
64B4-3.007: Provisional Licensure
64B4-3.0085: Intern Registration
64B4-3.009: Limited Licenses
64B4-3.010: Marriage and Family Therapy Dual Licensure
PURPOSE AND EFFECT: The Board proposes the rule amendments and rule promulgations in order to incorporate application forms into the rules and to provide the rule references for the application and licensure fees.
SUBJECT AREA TO BE ADDRESSED: Application forms and fees.
SPECIFIC AUTHORITY: 456.015, 490.004(5) FS.
LAW IMPLEMENTED: 456.015, 491.005(1)(c), (3)(c), (4)(c), 491.006, 491.0046, 491.0057 FS.
IF REQUESTED IN WRITING AND NOT DEEMED UNNECESSARY BY THE AGENCY HEAD, A RULE DEVELOPMENT WORKSHOP WILL BE NOTICED IN THE NEXT AVAILABLE FLORIDA ADMINISTRATIVE WEEKLY.
THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE DEVELOPMENT AND A COPY OF THE PRELIMINARY DRAFT, IF AVAILABLE, IS: Sue Foster, Executive Director, Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling/MQA, 4052 Bald Cypress Way, Bin #C08, Tallahassee, Florida 32399-3258
THE PRELIMINARY TEXT OF THE PROPOSED RULE DEVELOPMENT IS:
64B4-3.001 Application for Licensure as a Clinical Social Worker, Marriage and Family Therapist or Mental Health Counselor Verification of Supervised Experience for Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling Applicants.
(1) Every applicant for licensure as a clinical social worker, marriage and family therapist or mental health counselor shall submit to the Board a completed application on Form DH-MQA 1174, Application for Licensure (revised 1/09), hereby adopted and incorporated by reference, which can be obtained from the Board’s website at www.doh.state.fl.us/mqa/491 verify the required supervised experience with a form entitled Application for Licensure supplied by the Department and completed and signed by the applicant’s supervisor. The application shall be accompanied with the application fee and the initial licensure fee.
(1) An application for licensure by examination shall be accompanied with the application fee and the initial active status license fee specified in Rule 64B4-4.002, F.A.C.
(2) An application for licensure by endorsement shall be accompanied with the application fee specified in Rule 64B4-4.003, F.A.C., and the initial active status license fee specified in Rule 64B4-4.002, F.A.C. Applicants for licensure in Clinical Social Work, Marriage and Family Therapy or Mental Health Counseling who cannot provide verification by the methods above will be reviewed on an individual basis as to the sufficiency of alternative verification.
Specific Authority 491.004(5) FS. Law Implemented 491.005(1)(c), (3)(c), (4)(c), 491.006 FS. History–New 7-6-88, Amended 1-28-91, 11-3-92, Formerly 21CC-3.001, 61F4-3.001, Amended 11-13-96, Formerly 59P-3.001, Amended________.
64B4-3.0015 Verification of Supervised Experience for Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling Applicants.
(1) Every applicant for licensure by examination as a clinical social worker, marriage and family therapist or mental health counselor shall verify the required supervised experience on Form DH-MQA 1181, Supervised Experience Attestation Form (Revised 1/09), which is hereby adopted and incorporated by reference and is available from the Board’s website at www.doh.state.fl.us/mqa/491. This form is to be completed and signed by the applicant’s supervisor.
(2) Applicants for licensure in Clinical Social Work, Marriage and Family Therapy or Mental Health Counseling who cannot provide verification by the methods above will be reviewed on an individual basis as to the sufficiency of alternative verification.
Specific Authority 491.004(5) FS. Law Implemented 491.005(1)(c), (3)(c), (4)(c) FS. History–New________.
64B4-3.007 Provisional Licensure.
(1) An applicant for licensure by examination or endorsement who intends to practice in Florida while satisfying coursework or examination requirements for licensure must be provisionally licensed in the profession for which he or she is seeking licensure prior to beginning practice.
(2) An applicant seeking a provisional license must submit a completed application to the Board on Form DH-MQA 1176, Provisional License Application (Revised 1/09), hereby adopted and incorporated by reference, which can be obtained from the Board’s website at www.doh.state.fl.us/mqa/491. The application shall be accompanied by the application fee specified in Rule 64B4-4.014, F.A.C., which is non-refundable.
(3) A provisional license shall be valid for a twenty-four (24) month period after the license is issued and may not be renewed or reissued.
Specific Authority 491.004(5) FS. Law Implemented 491.0046 FS. History–New________.
64B4-3.0085 Intern Registration.
An individual who intends to practice in Florida to satisfy the post-master’s experience must register as an intern by submitting a completed application to the Board on Form DH-MQA 1175, Intern Registration Application (Revised 1/09), hereby adopted and incorporated by reference, which can be obtained from the Board’s website at www.doh.state.fl.us/mqa/491. The application shall be accompanied by the application fee specified in Rule 64B4-4.015, F.A.C., which is non-refundable.
Specific Authority 491.004(5) FS. Law Implemented 491.0045 FS. History–New________.
64B4-3.009 Limited Licenses.
(1) No change.
(2) Any person desiring to obtain a limited license shall submit a completed application to the Board on Form DH-MQA 1178, Application for Limited Licensure (Revised 1/09, hereby adopted and incorporated by reference, which can be obtained from the Board’s website at www.doh.state.fl.us/mqa/491. The application shall be accompanied by the documents required by Section 456.015(2), F.S., and a fee of $25 unless the applicant provides a notarized statement from the employer stating that the applicant will not receive monetary compensation for service involving the practice of his profession.
Specific Authority 456.015 FS. Law Implemented 456.015 FS. History–New 11-13-96, Formerly 59P-3.009, Amended________.
64B4-3.010 Marriage and Family Therapy Dual Licensure.
Any psychologist licensed under Chapter 490, F.S., or clinical social worker or mental health counselor licensed under this chapter desiring to obtain licensure as a marriage and family therapist shall submit a completed application to the Board on Form DH-MQA 1177, Marriage and Family Therapy Dual Licensure Application (Revised 1/09), hereby adopted and incorporated by reference, which can be obtained from the Board’s website at www.doh.state.fl.us/mqa/491. The application shall be accompanied with the application fee and the initial active status license fee specified in Rule 64B4-4.002, F.A.C.
Specific Authority 491.004(5) FS. Law Implemented 491.0057 FS. History–New________.