Text Size - Small Medium Large


HOW TO APPLY FOR REGISTRATION AS A PSYCHOLOGICAL ASSISTANT

Step 1: APPLICATION AND FEE

  • Complete all sections of the application and sign and initial where required with original signature and initials (preferably in blue ink).
  • Submit a check for $40 payable to the Board of Psychology (Board)
  • Mail completed application and check to:

Board of Psychology
1625 North Market Blvd., Suite N-215
Sacramento, CA 95834

OFFICIAL TRANSCRIPT(S)

  • Official transcript(s) for the qualifying degree must be sent directly by the institution to the Board or an electronic copy of the official transcript(s) must be sent to boplicensing@dca.ca.gov.
  • Transcripts must reflect the degree conferred or awarded date.
  • If the application is based on admission to candidacy for a doctoral degree, in addition to official transcripts, request that the registrar or dean of the institution submit directly to the Board a letter certifying that:

1)  You have been admitted to candidacy on (date) for a doctorate degree in psychology or educational psychology with the field of specialization in psychology or counseling psychology;
2) You have satisfactorily completed three or more years of post-graduate education in psychology, and;
3)  You have successfully passed preliminary doctoral examinations.

FINGERPRINTS

  • Complete the Board's Request for Live Scan Services and take it to a Live Scan site to submit fingerprints to Department of Justice (DOJ) and Federal Bureau of Investigation (FBI) for criminal history background check.
  • After submission of your fingerprints through Live Scan, submit a copy of the Request for Live Scan Services to the Board.

SUPERVISION AGREEMENT

  • If you intend to accrue supervised professional experience towards licensure, complete and sign with an original signature (preferably in blue ink), a supervision agreement including a detailed description of the supervision plan to be submitted with your application.
  • Mail the supervision agreement to:

Board of Psychology
1625 North Market Blvd., Suite N-215
Sacramento, CA 95834

ADDING ADDITIONAL PRIMARY SUPERVISOR(S)

  • If you will be supervised by more than one primary supervisor, complete all sections of the Notification to Add or Change Supervisor or Service Location for a Psychological Assistant [PSB 101] with the additional primary supervisor, and sign and initial with original signature and initials(preferably in blue ink). You must submit a separate notification for each supervisor. There is no fee to add an additional primary supervisor.
  • If you intend to accrue hours for supervised professional experience towards licensure with the additional primary supervisor, complete and sign a supervision agreement including a detailed description of the supervision plan to be submitted with your application.
  • Mail completed notification and supervision agreement to:

Board of Psychology
1625 North Market Blvd., Suite N-215
Sacramento, CA 95834

Step 2: ACKNOWLEDGEMENT AND REVIEW

  • The Board will send an email acknowledging the date the application was received.
  • A licensing analyst will review the application and supporting documentation and send an email outlining deficiencies, if any.

Step 3: REGISTRATION APPLICATION WITHDRAWAL, DENIAL OR APPROVAL

WITHDRAWAL

  • An application that is not completed within ninety (90) days after additional information is requested will be withdrawn.

DENIAL

  • The Board will contact you via email or certified mail if an application is denied because the registration requirements are not met.

APPROVAL

  • The Board will contact you via email when your psychological assistant registration is approved.

Last updated: 9/12/17