Mental Health Practitioners Application

Mental Health Practitioners

Step 3: Fill Out Your Application

Name(Required)

First Last

Business Name(Required)

Email(Required)

Phone(Required)

Mailing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

In order to apply to become a member of the UACP, you must meet the following requirements. Please initial next to each requirement to indicate you have completed the requirement.

If you are applying as a provisional member, your initials indicate that you agree to completing requirements 2-4 within 24 months of your application approval in order to retain your membership in the UACP.

Initial

1. Mental Health professional license in good standing in one of the following below

Max. file size: 5 MB.

(Select all that apply):

PhD—Doctor of Philosophy

Psy. D—Doctorate of Psychology

LCSW—Licensed Clinical Social Worker

MFT—Marriage and Family Therapist

RCC—Registered Clinical Counselor

LEP—Licensed Educational Psychologist

LPC—Licensed Professional Counselor

Initial

2. Background, education and experience in:

Family systems theory
Assessment of individual and family strengths
Assessment and challenges of family dynamics in separation and divorce
Challenges of restructuring families after separation
For Child Specialists: Expertise in child development, clinical experience with a specialty focus on children and an in-depth understanding of children's unique issues in divorce

Max. file size: 5 MB.

Initial

2. A minimum of 3 hours aimed at giving the mental health professional a basic understanding of family law in his/her own jurisdiction.

Max. file size: 5 MB.

Join UACP

Join UACP

Step 3: Fill Out Your Application