Applying for Certification

Requirements for Initial Applicants:

To obtain Temporary Certification, psychiatrists, licensed psychologists, and licensed clinical social workers (LCSW)* pursuing certification as a Forensic Evaluator must submit the following materials:

• Completed application (form below)
• Supplement (form below)
• Proof of current Oregon license to practice
• Curriculum vitae or résumé 
• $250 nonrefundable application fee

To obtain Full Certification, initial applicants must also:

• Submit three redacted competency and/or criminal responsibility forensic evaluations for review and approval.
  
• Successfully complete the multi-day Oregon Forensic Evaluator initial training.
  

*LCSWs are restricted to performing forensic evaluations related to a youth's fitness to proceed.

Where to Send Your Application and Fee:

Please submit your application materials by email or fax:

• Email: Forensic.Certification@odhsoha.oregon.gov
  
• Fax: 503-391-2728
  

For the application fee, please pay by check made out to "Oregon State Hospital." Mail the check to:

Attn: Business Office
Oregon State Hospital
2600 Center St NE
Salem, OR 97301

Forms

• Oregon Certified Forensic Evaluator Application
• Certified Forensic Evaluator Application - Fillable (Word)
• Certified Forensic Evaluator Application - Printable (PDF)
• Psychologist Supplement
• Licensed Psychologist Supplement - Fillable (Word)
• Licensed Psychologist Supplement - Printable (PDF)
• Psychiatrist Supplement
• Psychiatrist Supplement - Fillable (Word)
• Psychiatrist Supplement - Printable (PDF)
• Licensed Clinical Social Worker (LCSW) Supplement
  
• LCSW Supplement - Fillable (Word)
  
• LCSW Supplement - Printable (PDF)
  
• Notice of Conditional Forensic Evaluator Certification
  
• Guidelines for Submission of Redacted Reports for Review