Professional Guidance Submission Form

Are you registered with the College of Alberta Psychologists?

Yes

This program is reserved for those registered with the College of Alberta Psychologists.

Please enter your CAP #

I am a:

Registered Psychologist

Provisionally Registered Psychologist

I have notified my supervisor that I am accessing the Professional Guidance Program

Yes

Provisionally registered psychologists accessing the Professional Guidance Program are required to notify there supervisors.

Are you a member of the Psychologists Association of Alberta?

Yes

Provisionally registered psychologists need to be members of PAA to access the program.

First Name

Last Name

Phone/Mobile

Supervisors Name

Please provide your supervisors email address

Supervisors Phone/Mobile

*Please note that supervisors of Provisionally Registered Psychologists will be notified and included in all communication with the Professional Guidance Officer. Supervisors are not required to be present during consultations.

Please select the category that best describes the situation you are seeking practice advice for?

Have you applied all relevant College of Alberta Psychologists (CAP) regulatory and professional ethics guidelines to your situation?

Yes

College of Alberta Psychologists

Before requesting consultation, please visit the College of Alberta Psychologists website for more information about regulatory and ethical guidelines.

Regulatory Information

Please briefly describe the situation for which you are seeking advice. Please do not include confidential client information.

Please list the specific question(s) you would like to have addressed?

Please describe the resolutions or options you are considering?

Disclaimer

PAA's Professional Guidance program (PGP) guides psychologists through ethical dilemmas and unfamiliar practice situations. The Professional Guidance Program does not offer any legal advice or advice related to accounting practices. For any legal concerns, we recommend a consulting a lawyer who specializes in psychological / health service practice. For financial or accounting advice, consult your accountant or auditor or a management accountant who specializes in Alberta health service provision. Direct advice will not be provided during consultation, and the psychologist accessing the service will remain responsible for any final or formal decisions.

By submitting this form you are understanding and agreeing to the statement above.

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This program is reserved for those registered with the College of Alberta Psychologists.

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