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Applying for Certification

Requirements for Initial Applicants:

To obtain Temporary Certification, psychiatrists, licensed psychologists, and licensed clinical social workers (LCSW)* pursuing certification as a Forensic Evaluator must submit the following materials:

  • Completed application (form below)
  • Supplement (form below)
  • Proof of current Oregon license to practice
  • Curriculum vitae or résumé 
  • $250 nonrefundable application fee

To obtain Full Certification, initial applicants must also:

*LCSWs are restricted to performing forensic evaluations related to a youth's fitness to proceed.

Where to Send Your Application and Fee:

Please submit your application materials by email or fax:

For the application fee, please pay by check made out to "Oregon State Hospital." Mail the check to:

Attn: Business Office
Oregon State Hospital
2600 Center St NE
Salem, OR 97301