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CA BBS 37A-523 2018-2025 free printable template

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STATE OF CALIFORNIA BUSINESS, CONSUMER SERVICES, AND HOUSING AGENCY Governor Edmund G. Brown Jr. Board of Behavioral Sciences1625 North Market Blvd., Suite S200, Sacramento, CA 95834 Telephone: (916)
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How to fill out CA BBS 37A-523

01
Obtain the CA BBS 37A-523 form from the California Board of Behavioral Sciences website or your local office.
02
Read the instructions carefully before starting to fill out the form.
03
Complete the personal information section, including your name, address, and contact details.
04
Fill in your license number and the type of application you are submitting.
05
Provide details regarding your education and training, including the names of institutions and dates of attendance.
06
Document your supervised experience, ensuring to include the hours worked and the supervising therapist's information.
07
Answer any questions related to your professional conduct and criminal history truthfully.
08
Review the completed form for accuracy and completeness.
09
Sign and date the form as required.
10
Submit the form along with any required fees to the appropriate BBS office.

Who needs CA BBS 37A-523?

01
Individuals applying for a license in marriage and family therapy or clinical social work in California.
02
Those seeking to meet the requirements set by the California Board of Behavioral Sciences.
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CA BBS 37A-523 is a specific form used by the California Board of Behavioral Sciences for reporting certain professional activities and credentials related to mental health practitioners.
Individuals applying for or renewing a license with the California Board of Behavioral Sciences are required to file CA BBS 37A-523.
To fill out CA BBS 37A-523, provide accurate personal information, details of your professional education, clinical experience, and any relevant certifications or credentials.
The purpose of CA BBS 37A-523 is to collect necessary information from applicants to determine their suitability and qualifications for licensure in the mental health field.
Information that must be reported on CA BBS 37A-523 includes personal identification, educational background, clinical training hours, and any disciplinary actions or criminal history.
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