Form DHCS1739 Mental Health Professional Licensing Waiver Request - California

Form DHCS1739 Mental Health Professional Licensing Waiver Request - California

What Is Form DHCS1739?

This is a legal form that was released by the California Department of Health Care Services - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the DHCS1739 form?
A: The DHCS1739 form is the Mental Health Professional Licensing Waiver Request form in California.

Q: What is the purpose of the form?
A: The purpose of the form is to request a waiver for certain licensing requirements for mental health professionals in California.

Q: Who can use the form?
A: The form is for mental health professionals who want to request a waiver of certain licensing requirements in California.

Q: What are the licensing requirements that can be waived?
A: The DHCS1739 form can be used to request a waiver for the educational, training, and examination requirements for mental health professional licensure in California.

Q: What should I include with the form?
A: Along with the form, you should include supporting documentation, such as transcripts, training certificates, and letters of recommendation.

Q: How long does it take to process the waiver request?
A: The processing time for the waiver request can vary, but it typically takes several weeks or months to receive a decision.

Q: Can the waiver be granted for any mental health profession?
A: The waiver can be granted for specific mental health professions, such as marriage and family therapists, clinical social workers, and professional clinical counselors.

Q: Who should I contact for more information?
A: For more information, you can contact the licensing board or the California Department of Health Care Services (DHCS).

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Form Details:

  • Released on June 1, 2013;
  • The latest edition provided by the California Department of Health Care Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form DHCS1739 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.

Download Form DHCS1739 Mental Health Professional Licensing Waiver Request - California

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