Verification of Supervised Experience for Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling Applicants
Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling
RULE NO.:RULE TITLE:
64B4-3.0015Verification of Supervised Experience for Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling Applicants
NOTICE OF CHANGE
Notice is hereby given that the following changes have been made to the proposed rule in accordance with subparagraph 120.54(3)(d)1., F.S., published in Vol. 42 No. 177, September 12, 2016 issue of the Florida Administrative Register.
The change is in response to written comments submitted by the staff of the Joint Administrative Procedures Committee and a vote by the Board at a duly noticed public meeting held on November 3, 2016. The changes are as follows:
64B4-3.0015 Verification of Supervised Experience for Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling Applicants.
(1) Every applicant for licensure by examination as a clinical social worker, marriage and family therapist or mental health counselor shall verify the required supervised experience on Form DH-MQA 1181, “Verification of Clinical Experience” Supervised Experience Attestation Form (Revised 11/16 08/16), which is hereby adopted and incorporated by reference and is available from http://www.flrules.org/Gateway/reference.asp?No=Ref-_____ or the web at www.floridasmentalhealthprofessions.gov/forms/form-supervised-experience-attestation.pdf. This form is to be completed and signed by the applicant’s supervisor.
(2) No change.
Rulemaking Authority 491.004(5) FS. Law Implemented 491.005(1)(c), (3)(c), (4)(c) FS. History–New 6-8-09, Amended 8-27-13, .
The following changes have been made to incorporated form DH-MQA 1181:
- The revision date of the form has been changed to 11/16.
- The form name has been changed to Verification of Clinical Experience.
- The name of the Board listed on the bottom of the form has been corrected.
THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE IS: Jennifer Wenhold, Executive Director, Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling/MQA, 4052 Bald Cypress Way, Bin # C08, Tallahassee, Florida 32399-3258.
