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Virginia Administrative Code (Last Updated: January 10, 2017) |
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Title 18. Professional and Occupational Licensing |
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Agency 115. Board of Counseling |
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Chapter 40. Regulations Governing the Certification of Rehabilitation Providers |
Appendix 9998. FORMS (18VAC115-40)
Latest version.
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Application for Certification as a Rehabilitation Provider, Form 1 (rev. 8/07).
General Information for Certification as a Rehabilitation Provider (rev. 7/11).
Verification of Experience for Rehabilitation Provider Certification, Form 2 (rev. 8/07).
Rehabilitation Provider Verification of Licensure/Certification (rev. 8/07).
Licensure/Certification Verification of Out-of-State Supervisor, Form 4 (rev. 8/07).
Rehabilitation Provider Application for Reinstatement of a Lapsed Certificate (rev. 8/07).