Psychoanalytic license

How to apply for the psychoanalytic license

Download the New York State psychoanalyst license application forms here:

This link takes you to Psychoanalysis Application Forms, with instructions and links for each form. Under the Mental Health Practitioners sidebar on the left, scroll down for the Psychoanalysis tab.

Download License Requirements and Application Forms.

Psychoanalyst Application Packet has all the instructions and forms in one pdf. Read through carefully to decide which path best fits your education and clinical experience. Print out each form.

Form 1-Application for Licensure: Send to New York State with your photo and a check for $345.00. Also fill out Form 4 with the names of 3 colleagues or supervisors (these will be endorsers) and send to the state with Form 1. If you work with children also send the certificate of completion of the child abuse course. If you do not work with children, send the certificate of exemption to the state.

Form 2-Certification of Psychoanalytic Study: Complete Section I and send entire form to your institute.

Form 2A-Certification of Graduate Study: You will need at least two copies of this form. Complete Section I of each copy and send one entire copy to your graduate school and one to the institute from which you graduated.

Form 4-Applicant Experience and Endorsement Record: Complete form and send to the Office of Professions (address at bottom of form).

Form 4B-Certification of Supervised Experience: List 3 colleagues or supervisors (endorsers) who can verify that you have been in practice full-time for 7 years or the equivalent.

Child Abuse Certificate of Exemption Form: Fill out and send to NYS if you do not work with children.

Forms that must be notarized can be taken to your bank. There should be no fee.

For more information, contact the state at518-474-3817 or .


Whether you are an early career psychologist, in the middle of your career or preparing to sunset, practice development and developing strong business strategies are key to all clinicians. The following section will showcase policies and procedures for your practice as well as administrative links and topics to enhance and aide you in all facets of your business.

We will work hard to keep this page updated with current information. If you are aware of additional information that would benefit other, please share with NYSPA by emailing .

Record Keeping Guidelines – From the NYS Office of Professions, a guide for psychologists to allow for consumer protection and professional purposes and assistance. APA Record Keeping Guidelines, additional resources designed to educate psychologists and provide a framework for making decisions regarding professional record keeping.

Duty to Warn – NYS does not have a Duty to Warn law. The exception is if you are employed with OMDD, OMH, or OASAS. If you work for one of these organizations contact the HR department of that facility. The recommendation from SED is that an individual may not participate in a crime by knowing it will be carried about and doing nothing. There is a responsibility to contact the authorities and then document in detail your actions and reasoning in the patients file. If you have questions you should consult an attorney.

NYS Department of Education – NYS Laws, Rules and Regulations for psychology.

Engaging in Telepractice “Telepractice” is providing service that is not “in person” and is facilitated through the use of technology. This link provides the NYS Guidelines on this practice.

Practice Alert & Guidelines – NYSED Office of Professions offers Practice Alerts & Guidelines on information that is important to your practice. The link is updated regularly. You will find information on the following topics:

  • Diagnosis and Treatment Plans
  • Custody Evaluations
  • Insurance Billing Pitfalls
  • Supervision
  • Couples and Group Therapy Confidentiality
  • Patient Perception of Verbal Abuse
  • Dual Relationships
  • Consultation with Other Professionals
  • When Practice Ceases
  • Sexual Harassment
  • Professional Standards of Care in Medical Practice
  • Guidelines Regarding the Education and Training of Psychologists for Practice in a Pluralistic Society