Section Psyc 304.04 - Tele-pass Application(a) The applicant shall complete and submit the "Universal Application for Initial License" dated March 2023 signed and dated in accordance with Plc 304.05;(b) In addition to the application in (a) above, the applicant shall provide a list of all names they have ever been known by;N.H. Admin. Code § Psyc 304.04
Derived from Number 10, Filed March 7, 2024, Proposed by #13862, Effective 4/2/2024, Expires 4/2/2034.