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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 60. Regulations Governing the Practice of Licensed Substance Abuse Treatmentpractitioners |
Appendix 9998. FORMS (18VAC115-60)
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Licensure Application, Licensed Substance Abuse Treatment Practitioner, LSATP Form 2 (rev. 1/11).
Verification of Licensure, Form LSATP 2-VL (rev. 1/11).
Verification of Supervision – Post Graduate Degree Supervised Experience, LSATP 2-VS (rev. 1/11).
Supervisor's Experience and Education (rev. 1/11).
Licensure Verification of Out-of-State Supervisor, LSATP Form 1-LV (rev. 1/11).
Coursework Outline Form, Form LSATP 2-CO (rev. 1/11).
Verification of Internship, Form LSATP 2-VI (rev. 1/11).
Verification of Internship Hours Towards the Residency, Form LSATP 2-IR (rev. 1/11).
Registration of Supervision – Post Graduate Degree Supervised Experience, LSATP Form 1 (rev. 1/11).
Quarterly Evaluation Form, LSATP Form 1-QE (rev. 1/11).
Supervision Outline Form – Examination Applicants Only, Form LSATP 2-SO (rev. 1/11).