The purpose of the rule amendment is to update the incorporated forms and to include two additional forms.  

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    DEPARTMENT OF HEALTH

    Board of Psychology

    RULE NO.:RULE TITLE:

    64B19-11.010Limited Licensure

    64B19-11.011Provisional License; Supervision of Provisional Licensees

    64B19-11.012Application Forms

    PURPOSE AND EFFECT: The purpose of the rule amendment is to update the incorporated forms and to include two additional forms.

    SUMMARY: To update the incorporated forms and add additional forms.

    SUMMARY OF STATEMENT OF ESTIMATED REGULATORY COSTS AND LEGISLATIVE RATIFICATION:

    The Agency has determined that this will not have an adverse impact on small business or likely increase directly or indirectly regulatory costs in excess of $200,000 in the aggregate within one year after the implementation of the rule. A SERC has not been prepared by the Agency.

    The Agency has determined that the proposed rule is not expected to require legislative ratification based on the statement of estimated regulatory costs or if no SERC is required, the information expressly relied upon and described herein: During discussion of the economic impact of this rule at its Board meeting, the Board concluded that this rule change will not have any impact on licensees and their businesses or the businesses that employ them. The rule will not increase any fees, business costs, personnel costs, will not decrease profit opportunities, and will not require any specialized knowledge to comply. This change will not increase any direct or indirect regulatory costs. Hence, the Board determined that a Statement of Estimated Regulatory Costs (SERC) was not necessary and that the rule will not require ratification by the Legislature. No person or interested party submitted additional information regarding the economic impact at that time.

    Any person who wishes to provide information regarding a statement of estimated regulatory costs, or provide a proposal for a lower cost regulatory alternative must do so in writing within 21 days of this notice.

    RULEMAKING AUTHORITY: 456.013, 456.015(1), (4), 456.025, 490.004(4), 490.0051 FS.

    LAW IMPLEMENTED: 456.013, 456.015, 456.025, 456.0635, 490.003(6), 490.0051, 490.005, 490.006, 490.007(1), 490.009 FS.

    IF REQUESTED WITHIN 21 DAYS OF THE DATE OF THIS NOTICE, A HEARING WILL BE SCHEDULED AND ANNOUNCED IN THE FAR.

    THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE IS: Allen Hall, Executive Director, Board of Psychology, 4052 Bald Cypress Way, Bin #C05, Tallahassee, Florida 32399-3255.

     

    THE FULL TEXT OF THE PROPOSED RULE IS:

    64B19-11.010 Limited Licensure.

    (1) Pursuant to Section 456.015, F.S., the Board shall grant a limited license to any applicants who meet the requirements of Section 456.015, F.S., and:

    (a) through (b) No change.

    (c) Complete and submit to the Board form DH-MQA 1188, (Revised 11/18 07/16), “Application for Psychologist Limited Licensure,” which is hereby incorporated by reference, copies of which may be obtained from http://www.flrules.org/Gateway/reference.asp?No=Ref-      07067, the Board office or at http://www.doh.state.fl.us/mqa/psychology.

    (2) No change.

    Rulemaking Authority 456.015(1), (4), 490.004(4) FS. Law Implemented 456.013, 456.015, 456.0635 FS. History–New 6-14-94, Formerly 61F13-11.012, Amended 6-26-97, Formerly 59AA-11.010, Amended 3-24-02, 5-24-09, 5-2-10, 9-3-12, 12-25-12, 10-16-14, 9-27-16,              .

     

    64B19-11.011 Provisional License; Supervision of Provisional Licensees.

    All applicants applying for provisional licensure shall:

    (1) Complete and submit to the Board form DH-MQA 1189, (Revised 11/18 07/16), “Application for Provisional Psychology Licensure,” which is hereby incorporated by reference, copies of which may be obtained from http://www.flrules.org/Gateway/reference.asp?No=Ref-   07068, the Board office or at http://www.doh.state.fl.us/mqa/psychology.

    (2) No change.

    Rulemaking Authority 456.013, 456.025, 490.004(4), 490.0051 FS. Law Implemented 456.013, 456.025, 456.0635, 490.003(6), 490.0051, 490.009 FS. History–New 1-27-98, Amended 3-24-02, 9-8-03, 5-24-09, 3-1-10, 6-18-12, 12-25-12, 10-28-13, 6-10-14, 9-27-16,                 .

     

    64B19-11.012 Application Forms.

    (1) All applicants for licensure pursuant to Chapter 490, F.S., shall complete and submit form DH-MQA 1187, (revised 11/18 07/16), “State of Florida Application for Licensure As A Psychologist,” which is incorporated herein by reference and which may be obtained from http://www.flrules.org/Gateway/reference.asp?No=Ref-   07069, the Board office, or at http://floridaspsychology.gov/applications/psychology-licensure-app.pdf.

    (2) All applicants for licensure pursuant to Chapter 490, F.S., who have ever held a license to practice psychology or a related profession shall complete and submit PY FORM 1.VERIF (rev. 10/01), “Licensure/Certification Verification Form,” effective 6-25-02, which is incorporated herein by reference and which may be obtained from http://www.flrules.org/Gateway/reference.asp?No=Ref-   , the Board office, or at https://floridaspsychology.gov/applications/license-verification-form.pdf.

    (3) An applicant who is a diplomate in good standing with the American Board of Professional Psychology, Inc., and who wishes to apply for licensure by endorsement pursuant to Section 490.006(1)(b), F.S., shall submit as part of his or her application PY FORM 4.abpp (rev. 10/01), “ABPP Diplomate Verification Form,” effective 6-25-02, which is incorporated herein by reference and which may be obtained from http://www.flrules.org/Gateway/reference.asp?No=Ref-  , the Board office, or at https://floridaspsychology.gov/applications/abpp-diploma-verification-form.pdf.

    Rulemaking Authority 456.013, 456.025, 490.004(4), 490.005 FS. Law Implemented 456.013, 456.025, 456.0635, 490.005, 490.006, 490.007(1) FS. History–New 6-25-02, Amended 5-24-09, 3-1-10, 5-23-10, 11-10-11, 6-18-12, 12-25-12, 10-28-13, 5-1-14, 11-2-14, 4-6-15, 12-3-15, 4-21-16, 9-27-16,                       .

     

    NAME OF PERSON ORIGINATING PROPOSED RULE: Board of Psychology

    NAME OF AGENCY HEAD WHO APPROVED THE PROPOSED RULE: Board of Psychology

    DATE PROPOSED RULE APPROVED BY AGENCY HEAD: November 8, 2018

    DATE NOTICE OF PROPOSED RULE DEVELOPMENT PUBLISHED IN FAR: April 25, 2018

Document Information

Comments Open:
12/5/2018
Summary:
To update the incorporated forms and add additional forms.
Purpose:
The purpose of the rule amendment is to update the incorporated forms and to include two additional forms.
Rulemaking Authority:
456.013, 456.015(1), (4), 456.025, 490.004(4), 490.0051 FS.
Law:
456.013, 456.015, 456.025, 456.0635, 490.003(6), 490.0051, 490.005, 490.006, 490.007(1), 490.009 FS.
Contact:
Allen Hall, Executive Director, Board of Psychology, 4052 Bald Cypress Way, Bin #C05, Tallahassee, Florida 32399-3255.
Related Rules: (3)
64B19-11.010. Limited Licensure
64B19-11.011. Provisional License; Supervision of Provisional Licensees
64B19-11.012. Application Forms