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Behavioral Sciences Regulatory Board 700 SW Harrison St. Suite 420 Topeka, KS 666033929 Max L. Foster, Jr., Executive DirectorPhone: 7852963240 Fax: 7852963112 www.ksbsrb.ks.gov Laura Kelly, GovernorTemporary
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Obtain the necessary forms from the appropriate licensing board or agency in your state.
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Fill out the forms completely and accurately, providing all required information and documentation.
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Include any applicable fees with your application.
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Submit the completed application and supporting documents to the licensing board or agency.
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Allow for processing time, as it may take several weeks or months to receive a response.
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Follow up with the licensing board or agency if you have not received a response within a reasonable amount of time.
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If approved, you will receive your out-of-state independent clinical permit or licensure, allowing you to practice independently in the state.
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Who needs for out-of-state independent clinical?

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Individuals who have completed their clinical training in a different state and wish to practice independently in a new state.
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Out-of-state independent clinical refers to a clinical practice or service that is provided by a healthcare professional or facility located outside of a patient's home state.
Healthcare professionals who provide clinical services to patients in a state where they are not licensed, or facilities that engage in such practices, are required to file for out-of-state independent clinical.
To fill out for out-of-state independent clinical, providers must complete a specific application form provided by the regulatory authority of the state where they intend to offer services, providing necessary details about their qualifications and proposed practice.
The purpose is to ensure that out-of-state providers comply with state regulations and standards to maintain patient safety and uphold quality of care.
Providers must report information such as their professional credentials, the nature of the clinical services offered, the duration of practice in that state, and any previous disciplinary actions or malpractice claims.
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