Cabinet Secretary
Matt Althoff

Board of Examiners of Psychologists

Applications and Forms

Initial Application Forms

Application for Licensure
Required Coursework Example Sheet
Application for Licensure Cover Letter
Applicant Predoctoral Internship Confirmation Form
Predoctoral Internship Supervision Confirmation Form
Post-Doctoral Psychological Experience Form
Release and Waiver for Supervisors
Verification of All Past/Present Licensure Form

Renewal Application Forms

Relicensure Application

If you are an active duty member of the armed forces of the United States, or the spouse of an active duty member, and subject to a military transfer to South Dakota, please contact the Board office for an application under the Servicemembers Civil Relief Act (SCRA).

Board of Examiners of Psychologists

Applications and Forms

Initial Application Forms

Renewal Application Forms

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