Find a Psychologist Application

If you are a licensed psychologist and you would like your services to be listed in the Find a Psychologist area, please fill out the following information. If not, you can skip this step by clicking the skip button below. If not, you can skip this step by clicking the skip button below.


Declarations (Answer all questions.)
1. Are you currently the subject of censure, reprimand, or disciplinary action, or have you been refused admission to a professional organization or suspended from practicing psychology by any court, administrative agency, or local, state, or national ethics committee?
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(If yes, please explain each instance, describing briefly the events leading up to the case and outcome.) 
2. Do you agree to inform the NSPA Membership and Marketing Chair and voluntarily remove yourself from the Find a Psychologist database if you should receive, now or in the future, a professional censure, reprimand, or disciplinary action by any local, state or national ethics committee or licensing/ credentialing board?
space Yes space No
3. Do you agree to comply with all APA Ethical Standards and state laws concerning the practice of psychology including those requiring psychologists to practice within their areas of competency? 
space Yes space No



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