RPT-S Renewal

RPT-S Renewal

Thank you for your interest in maintaining your Registered Play Therapist-Supervisor^TM (RPT-S) credential. In accordance with the RPT-S Standards, registrants must renew their credential annually.

RPT-S Renewal Instructions:

To begin the renewal process, and receive the discounted rate, APT members must login to their Member profile.
Complete the online annual renewal form below.
Upon submission, you will be directed to a secure payment page to submit your renewal fee.
A completed renewal application, CE Verification Form (if applicable), and payment are required to process your renewal. Renewal is contingent upon verification by APT that all requirements have been met.
Renewals may take 3-4 weeks for review and processing.

For questions, contact APT, (559) 298-3400.

RPT-S Annual Renewal Fees (does not include APT membership):
Member rate: $100 / Non-Member rate: $220 - All renewal fees are nonrefundable.

I have read the Privacy Policy and grant consent to use my data.

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Renewal Applicant Information
First Name *		Last Name *
Email Address *
Primary Mental Health License *LPC, LMFT, etc.		Expiration Date (mm/dd/yyyy) *

Clause 0101. through 0105.
*0101. I have satisfied all applicable application criteria or renewal policies and requirements required by the Association for Play Therapy (APT) to earn its Registered Play TherapistTM (RPT) or Registered Play Therapist-SupervisorTM (RPT-S) credentials. If an RPT-S applicant, I have been state licensed to engage in independent clinical mental health practice for three (3) or more years past my initial date of state licensure and be permitted by state licensure to supervise. 0102. The information, statements, and documents in this application or renewal are accurate and reflect my true experience, education and training, and expertise. Such information, statements, and documents are solely my responsibility and APT shall not be responsible or liable for the consequences of any inaccurate or misleading information. 0103. My application includes the presentation of my primary, current, and active state license as an independent clinical mental health practitioner. There are no conditions on my ability to practice under my license. To the best of my knowledge, there are no outstanding complaints against me. Further, in the event of relocation, I agree to provide documentation to APT of the new license prior to commencing practice in that state. 0104. I have read, understand, and hereby confirm that I will abide by the code of ethics, standards of practice, and all other legal standards or requirements promulgated by those bodies from which I have been granted a license. To protect the public and reduce legal liability to APT, I understand that the issuance of RPT and RPT-S credentials are based upon my adherence to the ethics and standards of conduct promulgated by my primary mental health discipline and not linked to those voluntary practice guidelines promulgated by APT. **0105. I agree to immediately notify APT, by certified, registered or receipted mail, if I: a. Have any disciplinary action taken against me by the applicable licensing authority; b. Have my license suspended or revoked or a condition placed on my license; c. Am convicted of a crime related to the provision of mental health services or a crime that would adversely affect the interests, effectiveness, reputation, or image of APT; d. Voluntary relinquish my license; or e. Fail to report any matter as described herein may result in the denial or revocation of my RPT or RPT-S credential.

Clause 0106. through 0110.
*0106. I acknowledge that my Credentialing application or renewal may be denied, suspended, or revoked, if I: a. Have a disciplinary action taken against me by the applicable licensing authority that results in the suspension or revocation of my license; or a condition is place on my license; b. Am convicted of a crime related to the provision of mental health services or a crime that would adversely affect the interests, effectiveness, reputation, or image of APT; c. Falsify, by inclusion or omission, information on the Credentialing application or renewal or any supporting documents; d. Fail to complete the RPT or RPT-S credentialing application or renewal requirements or update my license expiration date in a timely manner; e. Represent my RPT or RPT-S credential as my primary credential or mental health qualification; f. Voluntary relinquish my license; g. Aid or engage in any conduct that is prejudicial to the purpose, interests, effectiveness, reputation, or image of the play therapy profession and/or APT; or h. Have adverse action taken against me pursuant to any policy or procedure adopted by APT from time to time. 0107. I agree to support the APT mission statement, refrain from aiding or engaging in any conduct that is prejudicial to the purpose, interests, effectiveness, reputation, or image of the play therapy profession and/or APT. 0108. There have been no occurrences as described in item 0106 that have not been reported to APT or that are not described in the attached information, which includes a brief description of the matter, along with a copy of the final resolution or, if not resolved, a description of its current status and attached supporting documentation. 0109. I have read and am familiar with the Play Therapy Best Practices endorsed by APT and displayed on its website, www.a4pt.org. I have read and am familiar with the Credentialing Standards issued by APT and displayed on its website, www.a4pt.org, and acknowledge and agree to the requirements set forth therein to obtain a RPT/S credential. **0110. APT shall have no responsibility or liability for the impact that the delay or rejection, for any reason, of a RPT or RPT-S application for, or renewal of, RPT/S credential may have on my professional standing or employment status.

Clause 0111. through 0115.
*0111. APT and its Ethics & Practices Committee have reserved the sole right to resolve any and all filed complaints regarding my RPT/S credential. APT reserves the right to place my RPT/S credential on probation, or temporarily suspend or permanently revoke it, after notice and review of any of the occurrences described in items 0106 and/or 0107. 0112. I acknowledge and agree that a designation as RPT or RPT-S by APT does not certify, imply, or affirm my knowledge or competency in my profession or otherwise and that such designation only confirms that the education and training requirements of APT have been satisfied. I have not and will not use either the RPT or RPT-S designation as my only or primary credential. I understand that on all professional documents, communications and in all advertising the RPT/S credentials must be accompanied by the degree and the license in a mental health field that establishes the type of mental health services I am qualified to offer. 0113. I hereby indemnify and hold harmless APT from and against any and all claims, losses, actions, costs and expenses, including attorneys’ fees, incurred by APT as a result of or arising out of a) my acts or omissions in my treatment of patients; b) my failure to abide by the code of ethics, standards of practice and legal standards and requirements promulgated by my primary licensing authority; c) any falsification, including by omission or inclusion, of information on my RPT/S application or any supporting documents; d) my conduct or actions that are prejudicial to the purpose, interests, effectiveness, reputation, or image of play therapy and/or APT; and e) any other action or omission relating to my RPT/S credential. 0114. I agree that APT may revise its credentialing program and its criteria, process, and other aspects of the RPT and RPT-S credentials at its sole discretion and that all credentialing determinations are made at the sole discretion of APT based on all information received and reviewed and that APT may approve or deny my application or renewal application based on any and all information received by it during the application and renewal process or otherwise, including information that may be obtained independently or from third parties. **0115. I have read and agree to abide by the APT Privacy Policy as outlined on the APT website.
Acknowledgment: 0101 - 0115 *	I have read and acknowledge clauses 0101-0115.

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