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Applications and Forms 

APPLY ONLINE for the following:

Psychologist
Psych Corporate Fictitious Name
 
 

To download a paper application, click on the license type you wish to apply for:

Volunteer (PDF)

Application Form for Sponsor/Provider Approval for National and Regional Associations (PDF) 


Reactivation Application

(for EXPIRED or INACTIVE licenses)The reactivation application has been moved to an online process. To review the requirements and submit your reactivation application online login to your account at www.pals.pa.gov and click the pencil icon next to your license number to start the reactivation process. 


Content Editor

Contact 

State Board of Psychology
P.O. Box 2649
Harrisburg, PA 17105-2649
 
Phone - (717) 783-7155 
Fax - (717) 787-7769
 

Note:  This mailbox is reserved for receipt of documentation specific to letters of good standing, exam information, disciplinary documents, transcripts and other education or employment verifications, and any other outside agency or related communications.

To contact the Board with general or application questions or assistance related to your license, application and/or for any technical support pertaining to the PA Licensing System known as PALS, please reference the link below.

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