Here, you’ll find all the forms available from the North Carolina Psychology Board. Please select the topic below to download the appropriate form.
PLEASE NOTE: While the forms are INTERACTIVE (information may be typed directly into text fields) Adobe Reader WILL NOT allow data to be saved upon exit of the program. The applicant is strongly advised to print copies before exiting out of forms. Following receipt of the application, the Board may, in some cases, require that additional documentation be submitted. The applicant will be contacted by Board staff if any additional forms or information are needed.
Contact information is public record under NC law. The address marked as the preferred mailing address, as well as the email provided, is published in the Board’s register of licensees that may be obtained by third parties for a fee of $8.00. The Board is required to publish a register, and is required to release information that is considered public record under NC law.
Some people choose to use a post office box as their mailing address instead of their home/business address, but whatever address in on if it is in the file with the Board, is considered public record and can be released upon request for the most part, except for transcripts and attorney communication.
To change your name you will need to complete the form below and submit to the Board office via postal mail along with the appropriate fees for revised certificate(s), and legal documentation indicating the name change. Please also make sure your preferred mailing address is up to date for certificates to be sent once received in office. Change of Name Form
The Board does not keep copies of licensure certificates on file. To receive a duplicate of your wall certificate or HSP certificate you must submit the following fees along with a completed form below. Please submit via postal mail to the Board office along with the appropriate fee(s). Duplicate License Request
