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CA BBS 37A-522 2010 free printable template

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STATE OF CALIFORNIA - STATE AND CONSUMER SERVICES AGENCY Governor Edmund G. Brown Jr. Board of Behavioral Sciences 1625 North Market Blvd. Suite S200 Sacramento CA 95834 Telephone 916 574-7830 TTY 800 326-2297 www. bbs. ca.gov RESPONSIBILITY STATEMENT FOR SUPERVISORS OF AN ASSOCIATE CLINICAL SOCIAL WORKER Title 16 California Code of Regulations 16 CCR Section 1870 requires any qualified licensed mental health professional who assumes responsibili...
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How to fill out CA BBS 37A-522

01
Obtain the CA BBS 37A-522 form from the California Board of Behavioral Sciences website or your local office.
02
Fill in your personal information at the top of the form, including your name, address, and contact information.
03
Provide your license number, if applicable, or other identification details.
04
Carefully read and follow the instructions provided for each section of the form.
05
Fill in the required information in each section, ensuring accuracy and completeness.
06
Review the data you have entered for any errors or missing information.
07
Sign and date the form at the designated section.
08
Submit the completed form as per the instructions, either online or by mail.

Who needs CA BBS 37A-522?

01
Individuals applying for a license or renewal in the field of behavioral sciences in California.
02
Professionals required to submit additional documentation or information as part of the licensing process.
03
Those reporting continuing education hours or other relevant qualifications to the California Board of Behavioral Sciences.
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​Excluded employees Excluded employees are employees who do not have collective bargaining rights under the Ralph C. Dills Act (Dills Act). In general, we designate these employees managerial, confidential, and supervisory.
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If you operate a business and employ one or more employees, you must register as an employer with us when you pay more than $100 in wages in a calendar quarter. If you are a household employer of one or more household workers, you must register with us when you pay cash wages of $750 or more in a calendar quarter.
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CA BBS 37A-522 is a form used by the California Board of Behavioral Sciences for reporting various statistics related to the practice of licensed clinical social workers, marriage and family therapists, and professional clinical counselors.
Licensed clinical social workers, marriage and family therapists, and professional clinical counselors in California are required to file CA BBS 37A-522 as part of their regulatory compliance.
To fill out CA BBS 37A-522, practitioners must provide personal and professional information, including their license number, employment details, and any relevant practice statistics as outlined in the instructions accompanying the form.
The purpose of CA BBS 37A-522 is to collect data on behavioral health services provided by licensed practitioners to help inform policy decisions and improve public health services in California.
The CA BBS 37A-522 requires reporting of information such as the number of clients served, types of services provided, demographic information about clients, and any specific therapeutic modalities used.
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