078-7 Wyo. Code R. § 7-4

Current through April 27, 2019

Section 7-4 - Progression Towards Licensure for Independent Clinical Practice

When a provisional licensee believes they have satisfactorily completed the education, experience, supervision and examination requirements established herein, they shall submit an application for an independent clinical practice license.

(a) The following documents must be received by the Board in order for the provisional licensees record to be presented to the Application Review Committee for consideration:

• (i) A complete official application form accompanied by the application fee.

• (ii) Verification and Evaluation of Supervised Experience report forms.
  • (A) Report forms shall contain an original signature.
  • (B) Report forms shall be submitted directly to the office of the Board from the applicants designated qualified clinical supervisor(s).
  • (C) Report forms must be submitted verifying clinical experience and individual face-to-face supervision from each Board approved designated clinical supervisor beginning from the date the provisional license was issued up to the date the provisional licensee applies for the independent clinical practice license.

• (iii) An official report of having received a passing score on the required examination submitted directly to the office of the Board from the examination provider.

(b) The provisional licensee shall continue to receive administrative and clinical supervision until such time as the license for independent clinical practice is issued by the Board.

(c) The provisional licensee shall surrender the provisional license identification card and submit a revised disclosure statement prior to being presented with the independent clinical practice license wall certificate and pocket identification cards.

078-7 Wyo. Code R. § 7-4

Amended, Eff. 6/3/2015.