670 doh 2025

1. Click ‘Get Form’ to open the 670 doh in the editor.
2. Begin by entering the applicant's name, including last, first, and middle names. Fill in the birth date in the specified format (mm/dd/yyyy).
3. Complete the address section with the applicant's street address, city, state, and zip code. Ensure that you enter a valid phone number and business phone number.
4. In the supervisor section, input the supervisor's name and credential number. Provide their street address, city, state, and zip code along with their phone number.
5. Document the supervised experience dates by filling in 'From' and 'To' fields with appropriate dates. Specify competencies gained during this experience.
6. The supervisor must attest to direct observation of client contact hours by signing and dating the form at the bottom.
7. Finally, ensure all required hours for various clinical evaluations are accurately recorded before submitting.

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