Virginia Department of Health Professions Forms

This document is a request for board approval of an evaluator in the state of Virginia. It is used to seek permission from the board to appoint a specific individual as an evaluator for a particular project or task.

This document is a formal request for the approval of a therapist in the state of Virginia by the board.

This Form is used for initial contact purposes in the state of Virginia. It allows individuals to reach out and provide their information to initiate communication with a person or organization.

This document is a request for board approval of a practice supervisor in the state of Virginia. It is used to seek permission from the board to appoint an individual as a practice supervisor for a specific profession or field.

This form is used for keeping a record of attendance for a group or organization in the state of Virginia. It helps track the attendance of members or participants during meetings, events, or activities.

This document is used for verifying supervised internship/practicum hours towards LMFT licensure in Virginia.

This document is for behavioral science professionals in Virginia to self-report their license information.

This type of document is a prescription report used in the state of Virginia. It provides information about medication prescribed to a patient.

This document is used for verifying or certifying an applicant's out-of-state licensure in Virginia.

This application is used for obtaining a pre-review of education for Licensure as a Licensed Marriage and Family Therapist (LMFT) in the state of Virginia.

This document notifies the employer about a board order in the state of Virginia.

This type of document is a Practice Supervisor Report that is used specifically in the state of Virginia. It is related to the field of Behavioral Sciences.

This document is a summary form used for supervision of LMFT licensure in Virginia. It helps track and document the supervision hours required for becoming a licensed marriage and family therapist in the state.

This document is used to request approval for a continuing education course in the state of Virginia.

This document is used for verifying supervision for LMFT licensure in Virginia. It is a requirement for individuals seeking to become a Licensed Marriage and Family Therapist (LMFT) in the state of Virginia.

This document is an initial therapy report conducted in the state of Virginia. It provides an overview of the client's evaluation, diagnosis, treatment plan, and progress.

This document is used for verifying supervision for LSATP licensure in Virginia.

This document is used for conducting a quarterly evaluation for LMFT licensure in the state of Virginia.

This report is used to document the progress and observations made during quarterly therapy sessions in the state of Virginia.

This type of document is used for submitting a formal request to the governing body of Virginia to create a new rule or regulation.

This form is used for updating the name or address of a counseling service in Virginia.

This document is used to verify the practical experience of a pharmacy intern in the state of Virginia. It is required for the intern to demonstrate their competency and fulfill the necessary requirements to become a licensed pharmacist in the state.

This document is used for individuals applying for a limited-use pharmacy technician position in the state of Virginia.

This form is used for applying to become a limited-use pharmacy technician in the state of Virginia.

This type of document provides the necessary information for closing a pharmacy in Virginia. It includes the required steps and procedures that need to be followed during the closure process.

This form is used to register a facility in Virginia to become an authorized collector for drug disposal.

This Form is used for registering a pharmacy in Virginia to be a collection site for donated drugs.

This document is an application form for approval of a pharmacy technician training program in the state of Virginia. It is used by organizations seeking to offer a training program for aspiring pharmacy technicians.

This form is used for applying for a permit to become a medical equipment supplier in the state of Virginia.

This document is used for applying for a permit to become a restricted manufacturer in the state of Virginia.

This document is used for applying for a wholesale distributor registration in Virginia for non-residents.

This form is used for applying for a permit as a third-party logistics provider in the state of Virginia. It is required to operate as a logistics provider in the state and ensures compliance with relevant regulations and guidelines.

This form is used for applying for a permit as a warehouser in the state of Virginia.

This form is used for applying for an Outsourcing Facility Permit in the state of Virginia. It is required for any facility that wants to engage in the compounding of sterile drugs for human use.

This document is for individuals or companies applying to become a non-resident warehouser in the state of Virginia. It is used to register and obtain the necessary permits and licenses to operate a warehouse facility.