Application Forms

Forms for licensure as a Psychologist in New Hampshire.

Effective July 1, 2017, all new applicants for licensure in New Hampshire, prior to being approved, are required to undergo a background check as specified in HB 650. This requirement also applies to psychologists who are applying for reinstatement. Applicants are responsible for all the costs involved in the background check as well as adhering to the procedures as specified in the law.

• Initial License 
• Renewal License 
• License Reactivation Application  
• PLUS License 
• Continuing Education Credits 
• Complaints 

Other Forms

• Change of Address Form  

• Name Change & Duplication Request Form  

• Request for Inactive Status Form  
• How to Obtain a Criminal Background Check