TITLE 18. PROFESSIONAL AND OCCUPATIONAL LICENSING
REGISTRAR'S NOTICE: Forms used in administering the regulation have been filed by the agency. The forms are not being published; however, online users of this issue of the Virginia Register of Regulations may click on the name of a form with a hyperlink to access it. The forms are also available from the agency contact or may be viewed at the Office of the Registrar of Regulations, 900 East Main Street, 11th Floor, Richmond, Virginia 23219.
Title of Regulation: 18VAC115-40. Regulations Governing the Certification of Rehabilitation Providers.
Agency Contact: Elaine Yeatts, Agency Regulatory Coordinator, Department of Health Professions, 9960 Mayland Drive, Henrico, VA 23233, telephone (804) 367-4688, FAX (804) 527-4434, or email elaine.yeatts@dhp.virginia.gov.
FORMS (18VAC115-40)
Application for Certification as a Rehabilitation Provider, Form 1 (rev. 8/07).
Application for Certification as a Rehabilitation Provider (rev. 5/2018)
General Information for Certification as a Rehabilitation Provider (rev. 7/2011).
Verification of Experience for Rehabilitation Provider Certification, Form 2 (rev. 8/07).
Rehabilitation Provider Verification of Licensure/Certification (rev. 8/07).
Licensure/Certification Verification of Out-of-State Supervisor, Form 4 (rev. 8/07).
Rehabilitation Provider Application for Reinstatement of a Lapsed Certificate (rev. 8/07).
Verification of Experience for Rehabilitation Provider Certification (rev. 5/2018)
Applicant Out-of-State Licensure/Certification Verification (rev. 4/2018)
Supervisor Out-of-State Licensure Verification (rev. 4/2018)
Rehabilitation Provider Application for Reinstatement (rev. 5/2018)
VA.R. Doc. No. R21-6625; Filed January 05, 2021