№ lp_1_31120
Note: Date of Hire
MHP/S request Directions: Complete MHP/MHS acknowledgement request form Attach ALL supporting documentation as indicated Email completed request with ALL supporting documentation to the Mental Health Program Administrator at DBHRThe review process of documentation could take as little as one or as much as four weeks to complete.If as a result of the review, additional documentation or clarification of documentation is requested, you are asked to attach additional documentation to the initial email request or resend all documentation.
Mental Health Professional (MHP)Check all qualifications that apply and attach supporting documentation: A psychiatrist, psychologist, psychiatric nurse or social worker as defined in chapters 71.05 and 71.34 RCW; A person who is licensed by the department of health as a mental health counselor, mental health counselor associate, marriage and family therapist, or marriage and family therapist associate; A person with a master’s degree or further advanced degree in counseling or one of the social sciences* from an accredited college or university. Such person shall have, in addition, at least two years of experience in direct treatment of persons with mental illness or emotional disturbance, such experience gained under the supervision of a mental health professional; A person who meets the waiver criteria of RCW 71.24.260, which was granted prior to 1986; A person who had an approved waiver to perform the duties of a mental health profession that was requested by the behavioral health organization (BHO) and granted by the mental health division prior to July 1, 2001; or A person who has been granted a time-limited exception of the minimum requirements of a mental health professional the division of behavioral health and recovery (DBHR). *For individuals with an Agency Affiliate Credential requesting MHP acknowledgement. Classes reviewed on transcripts are as indicated on DOH website, education criteria under Mental Health Counselors, which include: Behavioral science in a field relating to mental health counseling includes a core of study relating to counseling theory and counseling philosophy.Either a counseling practicum, or a counseling internship, or both, must be included in the core of study. Exclusive use of an internship or practicum used for qualification must have incorporated supervised direct client contact. This core of study must include seven content areas from the entire list in subsections (1) through (17) of this section, five of which must be from content areas in subsections (1) through (8) of this subsection.Please check all that apply:
Required documentation attached for review for MHP: DOH credential (LISCW, LICSW-A, LMHC, LMHC-A, LMFT, LFMT-A, ARNP, RN, Agency affiliated etc.) College Diploma College Transcript/s Résumé I (the applicant) certify that I meet the checked criteria above. I have attached the required documentation regarding my education, experience and supervision: Signature of applicant: Date signed:
I (agency representative) , certify I have reviewed the MHP request and all attached documentation, verified the experience above, and (staff) has the required credentials to be acknowledged : Date
Price: 8 / 10 USD
The file will be delivered to the email address provided at checkout within 12 hours.

Don’t have cryptocurrency yet?

You can still complete your purchase in a few minutes:
  1. Buy Crypto in a trusted app (Coinbase, Kraken, Cash App or any similar service).
  2. In the app, tap Send.
  3. Select network, paste our wallet address.
  4. Send the exact amount shown above.
After sending, paste your TXID (transaction ID) and your email to receive the download link. Need help? Contact support and we’ll guide you step by step.