Required Program Reviewer Update Form
In accordance with the Approved Provider Criteria and Standards, Approved Providers must notify APT when a change occurs in their Required Program Reviewer.
Please use the form below to submit the name, credentials and contact information for the Registered Play Therapist (RPT) or Registered Play Therapist-Supervisor (RPT-S) who will be the new designated Program Reviewer for your Approved Provider Status. Note that you will be asked to upload a completed Required Program Reviewer Attestation Form and should have this completed prior to attempting to submit this form.
For questions concerning the Approved Provider Program, contact Alexandra Jarrell, Continuing Education & Credentialing Coordinator, email@example.com, or 559-298-3400 x4.