Psychological Trainee

When is registration as a trainee required?

Registration as a Trainee is required only for those individuals whose supervisors will be requesting MEDICAID reimbursement for the services provided by the student. Students must provide both applications to the Board office with the required fee. The application process is unable to continue without the completed DCT form, as requested below.

Registration Form

Psychological Trainee Application is PDF fillable form, and MUST BE NOTARIZED to be accepted by the Board office.

Director of Clinical Training Form

Director of Clinical Training form should be completed of the Director of Clinical Training at your doctoral program. This form is not fillable, should be printed off and given to the DCT, and returned directly to the Board office.

Supervision Practice Plan

Supervision Practice Plan: This two-page document should be completed by your supervisor and signed by both the Trainee and supervisor and submitted with a work agreement that meets the requirements, as stated in NAC 641. This form is fillable.