FORMS (18VAC115-60).
Licensure Application, Licensed Substance Abuse Treatment Practitioner, LSATP Form 2 (rev. 1/2011)
Verification of Licensure, Form LSATP 2-VL (rev. 1/2011)
Verification of Supervision – Post Graduate Degree Supervised Experience, LSATP 2-VS (rev. 1/2011)
Supervisor's Experience and Education (rev. 1/2011)
Licensure Verification of Out-of-State Supervisor, LSATP Form 1-LV (rev. 1/2011)
Coursework Outline Form, Form LSATP 2-CO (rev. 1/2011)
Verification of Internship, Form LSATP 2-VI (rev. 1/2011)
Verification of Internship Hours Towards the Residency, Form LSATP 2-IR (rev. 1/2011)
Registration of Supervision – Post Graduate Degree Supervised Experience, LSATP Form 1 (rev. 1/2011)
Quarterly Evaluation Form, LSATP Form 1-QE (rev. 1/2011)
Supervision Outline Form – Examination Applicants Only, Form LSATP 2-SO (rev. 1/2011).
Verification of Post-Licensure Clinical Practice, Endorsement Applicants Only, Form LSATP-ECP (rev. 1/2011)
Licensed Substance Abuse Treatment Practitioner Application for Reinstatement of a Lapsed Certificate (rev. 7/2011)
Continuing Education Summary Form (LSATP) (rev. 3/2009)
Application Instructions for Temporary Licensure as a Resident in Substance Abuse Treatment (rev. 12/2019)
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