Connecticut State Department of Public Health

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Marital and Family Therapist Reinstatement of a Lapsed License

 

Before applying for licensure, please familiarize yourself with the general licensing policies.

 

An applicant for reinstatement of a Connecticut license that has lapsed due to nonrenewal shall provide the following documentation:

 

A completed, notarized application with photograph and fee in the amount of $315.00 in the form or a bank check or money order payable to, "Treasurer, State of Connecticut";

 

A current curriculum vitae (CV) including a synopsis of professional activity since completion of marital and family therapist school;

 

Verification of any out-of-state license or certification held, current or expired, submitted directly to this office from the source.  Please contact the state prior to submitting the request form as most states charge a fee for this service;

 

Verification from the appropriate authority confirming your most recent employment; including dates and an overall evaluation of your ability to practice with reasonable skill and safety.  If you are in private practice, a letter from another practitioner with whom you have a referral relationship.  Such letter shall indicate dates of the referral relationship and an evaluation of your ability to practice with reasonable skill and safety;

 

Please note that a marital and family therapist who has been out of active, clinical practice for a significant period of time may be required to complete additional training or an examination.  Applicants to whom this applies will receive further information from the Department upon receipt of an application.

 

All supporting documentation should be sent to:

 

Connecticut Department of Public Health

Marital and Family Therapist Licensure

410 Capitol Ave., MS #12 APP

P.O. Box 340308

Hartford, CT 06134

Phobe: (860) 509-7603 

Fax:  (860) 707-1980

Email: dph.counselorsteam@ct.gov