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 arrange for the following documentation to be submitted directly to this office from the source:

 

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.  Please select this link to submit your online application.  The application fee is $565.

 

The applicant’s current curriculum vitae (CV) or synopsis of professional activity since completion of the applicant's psychology program;

 

Verification of all licenses held, current or expired.  The verification of licensure form  should be forwarded to the appropriate authority in any U.S. state or territory in which the applicant is or has ever been licensed as a psychologist.   Most jurisdictions charge a fee for completion of the verification form; please contact the jurisdiction for fee information;

 

Verification from the appropriate authority confirming most recent employment; including dates and overall evaluation of the applicant's ability to practice psychology with reasonable skill and safety.  If  in private practice, a letter from another psychologist or psychiatrist 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 psychology with reasonable skill and safety. 

Any licensee whose license has become void for one year or more and who applies to the department for reinstatement must submit verification of completion of ten (10) hours of continuing education within the one-year period immediately preceding the date of application for reinstatement.

 

Applicants for reinstatement who have not been in the active, clinical practice of psychology for longer than six (6) months are reviewed by the Connecticut Board of Examiners for Psychologists.  The Board meets quarterly.  Typically, applicants for reinstatement who have not been in active, clinical practice for longer than five years are required to complete a period of refresher training.  Applicants will receive further information from the Department upon receipt of all required documentation.

 

Please arrange for all supporting documentation to be sent directly from the source to:

 

Connecticut Department of Public Health

Psychology Licensure

410 Capitol Ave., MS #12 APP

P.O. Box 340308

Hartford, CT 06134

Phone: (860) 509-7603

Fax:  (860) 707-1980

Email:  dph.counselorsteam@ct.gov