Wyo. Code R. 078-0001-7
Effective Date: 06/03/2015 to 07/26/2019
Rule Type: Superceded Rules & Regulations
Reference Number: 078.0001.7.06032015
Section 1. General Requirements. Provisional licensure is a means by which an individual may continue progress, under the supervision of a designated qualified clinical supervisor and under the administrative supervision of an employer, towards satisfactory completion of the education, experience and examination requirements established in these rules. A provisional license shall not be issued until the applicant has provided satisfactory evidence to the Board that they:
(i) Applicants who do not satisfy the educational requirements may be granted a provisional license provided they are deficient no more than six (6) semester hours and have met the requirement for course work in professional orientation or ethics, and practicum and internship.
(a) The terms “Provisional Professional Counselor,” “Provisional Clinical Social Worker,” “Provisional Marriage and Family Therapist” or “Provisional Addictions Therapist” shall be used only after the applicant is granted a provisional license by the Board, and only in conjunction with activities and services that are part of the supervised clinical experience.
(b) In the required professional disclosure statement, the provisional licensee shall also provide to every client full disclosure of the supervised nature of their work, which shall include the name, address and telephone number of their designated qualified clinical supervisor.
(c) The supervisory relationship shall be indicated, and the designated qualified clinical supervisor’s name, address and telephone number shall appear on all documents relating to advertisement by the provisional licensee.
(d) The provisional licensee shall comply with the applicable code of ethics and standards of practice for their discipline as incorporated into these rules in Chapter 15.
Section 3. Extensions. Provisional licenses are not renewable; however, the license may
be extended upon a showing of good cause as follows:
(a) One (1) extension for up to six (6) months may be granted to a provisional licensee in order to continue sitting for the required exam, provided they have completed the required hours of clinical experience and supervision.
(b) One (1) extension for up to three (3) years may be granted to a provisional licensee needing to complete the required hours of clinical experience and supervision, provided they have passed the required exam during the initial three (3) year period of the provisional license.
(c) Requests for extensions shall be in writing and include a detailed explanation justifying the extension.
Section 4. Progression Towards Licensure for Independent Clinical Practice. When a provisional licensee believes they have satisfactorily completed the education, experience, supervision and examination requirements established herein, they shall submit an application for an independent clinical practice license.
(a) The following documents must be received by the Board in order for the provisional licensee's record to be presented to the Application Review Committee for consideration:
(i) A complete official application form accompanied by the application fee.
(ii) Verification and Evaluation of Supervised Experience report forms.
(A) Report forms shall contain an original signature.
(B) Report forms shall be submitted directly to the office of the Board from the applicant's designated qualified clinical supervisor(s).
(C) Report forms must be submitted verifying clinical experience and individual face-to-face supervision from each Board approved designated clinical supervisor beginning from the date the provisional license was issued up to the date the provisional licensee applies for the independent clinical practice license.
(iii) An official report of having received a passing score on the required examination submitted directly to the office of the Board from the examination provider.
(b) The provisional licensee shall continue to receive administrative and clinical supervision until such time as the license for independent clinical practice is issued by the Board.
(c) The provisional licensee shall surrender the provisional license identification card and submit a revised disclosure statement prior to being presented with the independent clinical practice license wall certificate and pocket identification cards.