ATTENTION:
We are pleased to inform you that we have moved to a larger and more convenient premise at the address below on December 21, 2009. Our New Phone/Fax numbers are:
Tel: (405) 521-0779
Fax: (405) 521-0291

Please kindly change your records accordingly.


Board Meeting Dates
(Mondays – 9:00 A.M.)
At: 101 NE 51st Street, Oklahoma City, OK 73105
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2010
January 25
March 15
May 17
July 19
Sept. 20
November 15
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SPECIAL BOARD MEETING:

Wednesday, February 24, 2010 10 AM
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Forms and Applications

To All Licensees: Urgent Response Needed In order to comply with the Oklahoma immigration statute that went into effect in November 2007, The Board has been informed by the General Counsel section of the Attorney General’s office, that all licensing boards need to immediately require affidavits from licensees certifying their United States’ citizenship or lawful alien status for both initial license applications and renewals. Therefore, you will need to complete one of the following affidavits: Option 1 - Verification of Citizenship or Option 2 - Affidavit Verifying Qualified Alien Status. Both forms are attached with this email. (All forms will be verified with the Immigration and Customs Enforcement (ICE) through their E-Verify & S.A.V.E. Programs) Complete the form, have it notarized, and mail it to the Board’s office immediately. Your application for new license or renewal of your current license can be held pending receipt of this form. Mail form to: Oklahoma State Board of Alcohol and Drug Counselors P.O. Box 54388 Oklahoma City, OK 73154 Due to the fact that the form needs to be notarized, it cannot be completed on-line or faxed . Click here for the affidavit

Board Approved C.E. Events

Getting Started - updated Oct 6, 2008.

Basic Requirements for License.-updated 8/20/2009

Form 201 Application Form - revised 3/2010

Form 203 Application Inventory Form - REVISED 1/2010

Form 204 Code of Ethics - Revised 8/2009

Form 205 Professional Reference

Form 206 Supervisor-Supervisee Contract - revised 01/2010

Form 207 Supervision Log - REVISED 1/2010

Complaint Form

SAMPLE - SUPERVISION LOG

Form 208 General Supervision Evaluation - Revised 1/2010

Form 209 Practicum Form - Revised 1/2010

Form 210 Employment Verification

Credit Card Payment Form - Complete and submit this form along with your paperwork for the correct fee amount.

APPLICATION FORM FOR CONTINUING EDUCATION APPROVAL

STATEMENT OF PROFESSIONAL DISCLOSURE - COUNSELOR

STATEMENT OF PROFESSIONAL DISCLOSURE - UNDER SUPERVISION

The linked forms above are available in Adobe Acrobat format. Click on the links to open the form.
Download Adobe Acrobate Reader (it's free)

 
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Oklahoma State Board of Licensed Alcohol and Drug Counselors
101 NE 51st St :: Post Office Box 54388 :: Oklahoma City, OK 73154-0817
Tel: (405) 521-0779 :: Fax: (405) 521-0291
Executive Director Email: rpierson@okdrugcounselors.org