OPA-MCE Provider Forms and Applications

Provider Renewal Applications for the 2010-12 Biennium

(Sept. 1, 2010 – Aug. 31, 2010)
Note: Both the Application and Agreement MUST be submitted
•    Provider Renewal Application 
•    Provider Renewal Agreement

One-Course Provider renewals: use the NEW One-Course Provider Application and Agreement for 2010-12 below.


New Provider Applications for the 2010-12 Biennium
(Sept. 1, 2010 – Aug. 31, 2012)
Note: Both the Application and Agreement MUST be submitted.
•    Full Provider Application
•    Full Provider Agreement
•    One-Course Provider Application
•    One-Course Provider Agreement



Ohio Psychological Association
395 E. Broad St. #310
Columbus, OH 43215
Phone: (614) 224-0034 or (800) 783-1983
Fax: (614) 224-2059
OPA MCE
Phone: (614) 224-9620 or (888) 672-6231
Fax: (614) 224-6702