LICENSE APPLICATION INFORMATION AND FORMS
GENERAL INFORMATION:
At the time of application for licensure, the LSBEP is authorized and empowered to determine that you meet the criteria under LA R.S. 37:2356 or La. R.S. 37:2356.2, including that you are not “in violation of any of the provisions” of Title 37, Chapter 28. Psychologists, specifically, La. R.S. 37:2359(B)(3), (4) and (7) which may be used as a basis to determine eligibility for licensure under La Revised Statutes, Title 37 §§2351 – 2360 and the board’s rules respecting any such health care provider as set forth in LAC 46:LXIII. Pursuant to LA. R.S. 37:33(A)(1), an individual convicted of a crime may submit a Pre-Eligibility Determination Application to request at any time that the LSBEP determine whether an individual’s criminal conviction disqualifies the individual from obtaining a license to engage in the practice of psychology. In accordance with La. R.S. 37:2950(A)(2), the LSBEP shall consider all of the following in determining whether a conviction directly relates to the practice of psychology: 1)The nature and seriousness of the offense. 2)The nature of the specific duties and responsibilities for which the license is required. 3)The amount of time that has passed since the conviction. 4)Facts relevant to the circumstances of the offense, including any aggravating or mitigating circumstances or social conditions surrounding the commission of the offense. 5)Evidence of rehabilitation or treatment undertaken by the person since the conviction.
- Steps Toward Licensure
- Steps Toward Licensure for Provisional Applicants
- Application Timetable
- Summary of Fees
- ACTIVE DUTY MILITARY MEMBERS AND THEIR SPOUSES
- NOTICE: ASPPB’s PLUS APPLICATION: After January 31, 2022, ASPPB will no longer accept new PLUS Applicants from Louisiana. Applications received after January 31, 2022 must be processed on Louisiana’s forms.
- Pre-Eligibility Determination Application
APPLICATION FORMS:
RECIPROCITY APPLICATION: You may apply with this workflow ONLY if you are a Diplomate of the American Board of Professional Psychology (ABPP) or a holder of the Certificate of Professional Qualification in Psychology (CPQ) issued by ASPPB. Louisiana does not have reciprocity agreements with individual states or jurisdictions.
- Reciprocity Application
- Verification of Professional License
- Doctoral Program (submit form only if Doctoral Program was not APA approved)
- Criminal Background Check
- Information on Clinical Neuropsychology Specialization
- Clinical Neuropsychology Specialization
TEMPORARY PRACTICE REGISTRATIONS
- Information, Frequently Asked Questions and Steps to obtain a Temporary Registration
- Temporary Registration (30-day temporary practice available to all out-of-state psychologists)
- Emergency Temporary Registration – COVID-19 response only
- Emergency Temporary Registration – Hurricane Ida response only
- Verification of Professional License (Required)
APPLICATION FOR LICENSED PSYCHOLOGIST: Use this workflow if do not qualify for Reciprocity, and you either 1) have completed the EPPP and postdoctoral supervision requirements; 2) have completed postdoctoral supervision requirements and are seeking approval to be admitted to take the EPPP; or 3) are a qualified applicant for licensure who is not seeking early admission to the EPPP.
- Licensing Flow Chart – Psychologists w/ 2 years supervised practice experience
- Steps Toward Licensure – Psychologists
- Application Form: Psychologist
- Doctoral Program (submit form only if Doctoral Program was not APA approved)
- Internship Documentation (Required)
- Criminal Background Check
- Supervised Practice Plan
- Post Doctoral Supervision Documentation form (Required)
- Verification of Professional License (Required if you are licensed by any other regulatory board)
- Verification of Degree Form (Required if you began your postdoctoral supervision prior to the date your degree was conferred on your transcripts)
- Information on Clinical Neuropsychology Specialization
- Clinical Neuropsychology Specialization
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.
- Licensing Flow Chart – Provisional Licensure w/ 1 year supervised practice experience
- Steps Toward Licensure – Provisional Licensure
- Application Form: Provisional License
- Doctoral Program (submit form only if Doctoral Program was not APA approved)
- Internship Documentation (Required)
- Criminal Background Check
- Supervised Practice Plan -PROVISIONAL ONLY (Required for Provisional Applicants)
- Post Doctoral Supervision Documentation form (Required)
- Verification of Professional License (Required if you are licensed by any other regulatory board)
- Verification of Degree Form (Required if you began your postdoctoral supervision prior to the date your degree was conferred on your transcripts)
- Information on Clinical Neuropsychology Specialization
- Clinical Neuropsychology Specialization
LICENSED SPECIALIST IN SCHOOL PSYCHOLOGY (LSSP): This application is for individuals who have completed a school specialist degree from a National Association of School Psychologists approved program or equivalent, three years of supervised as a certified school psychologist within the public school system and has passed the Nationally Certified School Psychologist examination. LSSP's are limited to practice as a contractor or employee of a public, private, or charter school system. Supervision is required outside of these settings.
- Application Form: Licensed Specialist in School Psychology (LSSP)
- Summary of Fees
- LSSP Application Flow Chart
- Verification of Professional License
- Criminal Background Check
- Verification of Graduate Program of Study (REQUIRED IF YOU DID NOT ATTEND A NASP ACCREDITED PROGRAM)
- PRAXIS Examination Score Report Request (REQUIRED IF YOU DO NOT HOLD AN NCSP)
- Internship Experience Documentation (REQUIRED IF YOU DO NOT HOLD AN NCSP)
- School Supervised Experience Documentation (REQUIRED IF YOU DO NOT HOLD AN NCSP)
REINSTATEMENT OF LAPSED LICENSE
- Reinstatement Application for Psychologist
- Reinstatement Application for LSSP
- Verification of Professional License
- CPD Verification Form
- Criminal Background Check
AMERICANS WITH DISABILITIES (ADA)
REQUIRED: PUBLIC DISPLAY OF BOARD ADDRESS
COMPLAINT FORMS
LICENSEE RENEWAL FORMS – Renewals Open July 1, 2023
- Updated 2023 Renewal Forms will be posted in May 2023
- 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.)
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.