Wyo. Code R. 078-0001-7
Effective Date: 09/29/2010 to 06/03/2015
Rule Type: Superceded Rules & Regulations
Reference Number: 078.0001.7.09292010
Section 1. General Requirements. Provisional licensure is a means by which an individual may continue progress towards satisfactory completion of the education, experience, supervision and examination requirements established herein. 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.
Section 2. Supervision. The provisional licensee and the designated qualified clinical supervisor shall, by signed agreement, mutually consent to comply with the clinical supervision requirements established in these rules. Any changes in the agreement shall be submitted in writing to the Board, within ten (10) days of the change, for approval. A revised disclosure statement shall accompany any change in supervision.
completed in the absence of a Board approved supervision agreement shall not be accepted towards meeting the requirements for licensure.
(e) Provisional licensees shall be eligible for examination upon the issuance of the provisional license.
(f) Provisional licensees shall attempt the exam at least once during the term of the provisional license.
(a) The designated qualified clinical supervisor shall allow the provisional licensee to perform independently only those functions for which the provisional licensee has training and experience.
(b) The designated qualified clinical supervisor shall keep records verifying the training and evaluation of the provisional licensee, including the precise nature and number of hours of experience. A Verification and Evaluation of Supervised Experience report shall be submitted to the Board with a final recommendation due upon completion of the supervision.
(c) The designated qualified clinical supervisor shall be identified on all reports and correspondence of a professional nature, excluding disciplinary correspondence with the Board.
(d) The designated qualified clinical supervisor assumes professional and ethical responsibility and may be sanctioned by the Board for all acts and omissions of the provisional licensee within the scope of the supervision.
(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 adhere to the applicable code of ethics and standards of practice for their discipline.
Section 5. 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 6. 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.