R privilege 2026

1. Click ‘Get Form’ to open the r privilege document in the editor.
2. Begin with Section I. Enter your name exactly as it appears on your Application for Licensure in item 3. Ensure you sign and date item 7.
3. Document your hours of practice and supervision using the psychotherapy log, which must be completed by both you and your supervisor.
4. Send the entire form along with a copy of Appendix A to your supervisor for completion of Section II. They will forward it directly to the Office of the Professions.
5. In Section II, ensure your supervisor fills in their details, including their qualifications and agency information, and signs the affidavit.
6. Complete the psychotherapy log accurately, documenting client contact hours and supervision types weekly.

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