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CA BBS 37A-304 2023-2025 free printable template

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STATE OF CALIFORNIA — BUSINESS, CONSUMER SERVICES AND HOUSING AGENCY Gavin Newsom, Governor Board of Behavioral Sciences 1625 North Market Blvd., Suite S200, Sacramento, CA 95834 (916) 574-7830
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How to fill out CA BBS 37A-304

01
Obtain a copy of the CA BBS 37A-304 form from the California Board of Behavioral Sciences website or local office.
02
Fill in your personal information at the top of the form, including your name, address, and license number.
03
In the 'Purpose' section, clearly state the reason for submitting the form, such as requesting a duplicate license.
04
Provide any additional information or documentation required as specified in the instructions.
05
Review the completed form for accuracy and completeness.
06
Sign and date the form at the bottom.
07
Submit the form by mailing it to the address provided on the form or delivering it in person to the appropriate office.

Who needs CA BBS 37A-304?

01
Individuals who are licensed by the California Board of Behavioral Sciences and need to request a duplicate license or make updates to their personal information.
02
Applicants in the process of obtaining a license who need to document specific information as required by the board.
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A minimum of 1,750 hours of direct counseling to individuals, groups, couples, or families. A minimum of 500 of which must be with families, couples, or children. A maximum of 1,250 hours of nonclinical practice. One hour of direct supervisor contact is required for every five hours of client contact.
What is the 6-year rule? The Board cannot accept hours of experience (including personal psychotherapy and workshops, training or conferences) that are older than six (6) years from the date the Board receives your Application for Licensure.
A minimum of 1,750 hours of direct counseling to individuals, groups, couples, or families. A minimum of 500 of which must be with families, couples, or children. A maximum of 1,250 hours of nonclinical practice.
License Requirements Obtain a Qualifying Master's Degree. Electronic Transcripts. Register as an AMFT. Fingerprint Requirement. Criminal Background Check. Take and Pass the California Law and Ethics Exam. Accrue Supervised Experience. Take and Pass the LMFT Clinical Exam. Obtain LMFT license.
Trainees can only begin counting hours of experience if the student has completed a minimum of 12 semester or 18 quarter units of coursework in a qualifying MFT degree program. The one exception is Personal Psychotherapy hours, which can count from the date a person begins his or her degree program.
Two important pieces of information to remember are that: 1) ratios for trainees and Associate MFTs must be maintained in each setting at which the Trainee or Associate MFT works, and 2) the maximum number of supervision units the BBS will count towards licensure is six (6) units per week.

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CA BBS 37A-304 is a specific form used in California for reporting business-related information to the California Board of Behavioral Sciences.
Individuals and organizations licensed by the California Board of Behavioral Sciences are required to file CA BBS 37A-304.
To fill out CA BBS 37A-304, you need to provide accurate business information, including your license number, contact details, and any relevant figures required by the form's guidelines.
The purpose of CA BBS 37A-304 is to collect important business data and ensure compliance with state regulations for licensed professionals in the behavioral sciences.
On CA BBS 37A-304, you must report information such as your business name, address, license number, number of clients served, and any other relevant operational data.
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