Documentation Required for Reinstatement of a Lapsed ADC License/Certificate

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

 

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

 

Applications are only accepted online.  In order to submit your reinstatement application online, you will need to know your current user ID and password in DPH's system.  If you do not recall your user ID and password, you can use the recovery options as well as the 'Register' link.  If you use the 'Register' link, please disregard the language under 'PLEASE READ' and select 'NEXT' button at the bottom of the page.  On the next screen, you will need to match your first name, last name and the last 4 digits of your SSN and create a new password and validate your email address.  Once you are logged in, select 'Reinstatement Application' at the bottom left corner of the screen.  Please select this link to submit your online application.  The application fee is $190.

 

The applicant’s current curriculum vitae (CV) including a synopsis of professional activity since completion of alcohol and drug counselor education;

 

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

 

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

 

Please note that an alcohol and drug counselor 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

Alcohol and Drug Counselor Licensure/Certification

410 Capitol Ave., MS #12 APP

P.O. Box 340308

Hartford, CT 06134  

Phone: (860) 509-7603

Fax:  (860) 707-1980

Email:  dph.conselorsteam@ct.gov