Florida Department of State and Division of Library and Information Services

Reference: Ref-06415

Reference Name: Form DH-MQA 1175, Rev 10/15
Agency: 64 Department of Health
64b4 Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling

Modified Document(s): No Modified document(s).
Adopted Document(s):
1/15/2016 Intern Registration Application
Proposed Document(s):
1/13/2016 Intern Registration Application
Description: Intern Registration Application

Disclaimer: External links within the reference material are subject to change outside of the rulemaking process.

Rules/Notices using this Reference Material
Notice /
Adopted		 Section Description ID Publish
Date
View Text Final
64B4-3.0085 		Intern Registration 17079195 Effective:
02/09/2016



Under Florida law, E-mail addresses are public records. If you do not want your E-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing.