Forms [Application, Renewal and Complaint]

NOTICE: ASPPB’s PLUS APPLICATION:  ASPPB has notified LSBEP that they are phasing out the PLUS Application. After January 31, 2022, ASPPB will no longer accept new PLUS Applicants from Louisiana.

Louisiana will continue to accept and process PLUS Applications for those applicants who are currently in the PLUS system. New applications received after January 31, 2022 will be processed on Louisiana’s forms.

LICENSE APPLICATION FORMS

HOW TO APPLY FOR A LICENSE General Information:

APPLICATION FOR PROVISIONAL LICENSE: Use this workflow if you have completed your doctorate degree in psychology through an acceptable institution defined by the Louisiana Administrative Code, Title 46, Part LXIII. Psychologists, Chapter 3. Provisional Licensure REQUIRES Supervision by a Licensed Psychologist in Louisiana. Provisional Licensees are eligible to take the national Examination for Professional Practice in Psychology and Jurisprudence Examination prior to completing the postdoctoral supervision requirements. Applicants may forgo provisional licensure and opt to complete all examination requirements after completing supervision.

 

COMPLAINT FORMS

Request for Investigation
Consent Release

2022 LICENSEE RENEWAL FORMS (coming soon)

CONTINUING PROFESSIONAL DEVELOPMENT (CPD) VERIFICATION FORM(To be completed for and retained for your records when claiming credit for peer consultation, continuous practice outcome measure, professional activities, and self-directed learning activities.)

2022 Renewal Application

2022 Licensed Psychologist Continuing Professional Development Report

2022 Licensed Specialist in School Psychology Continuing Professional Development Report

2022 Fee Reduction Application

2022 Continuing Education Extension Application

NOTICE: In compliance with La. R.S. 44:33.1, the LSBEP hereby gives notice that information submitted to the LSBEP may become public record pursuant to the provisions of Louisiana Public Records Law, La. R.S. 44:1, et seq.