Behavioral Health Services Home - DHS - Sacramento County 2026

1. Click ‘Get Form’ to open the Behavioral Health Services Home - DHS - Sacramento County application in the editor.
2. Begin by entering your agency name and the date at the top of the form. This sets the context for your application.
3. Fill in the contact person’s name and phone number. Ensure this information is accurate for any follow-up communications.
4. In the section requesting your name, print it clearly as you will be applying for a licensure waiver. Specify the type of waiver you are requesting and provide details about your degree, including the date received.
5. Indicate when you began employment with your agency as a psychologist, along with your registration details with the Board of Psychology.
6. Complete the clinical supervisor’s information, ensuring their name and type of licensure are correctly filled out.
7. Attach necessary documents such as your current Board registration, doctoral degree, and resume before finalizing your application.
8. Sign and date both as the waiver applicant and have your clinical supervisor do the same to validate your application.

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