NOTE: If you are already an AGPA Member, Please click Login above and log in before filling out this application to get Member pricing. Once logged in, click on the Apply for CGP link again.
The information provided on the following pages and reference forms will be used to determine your eligilibity for inclusion in the National Registry of Certified Group Psychotherapists. Please read these instructions carefully before continuing to complete the application.
Registry eligiblity requires both general clinical credentials and specific group psychotherapy credentials.
Clinical credentials include a graduate degree and the highest state clinical licensure and/or clinical membership/certification in designated national professional organizations as further described below.
Group psychotherapy credentials include group psychotherapy education, experience, supervision, and references.
DOCUMENTATION BY DISCIPLINE: Please refer to your specific professional discipline listed below for required clinical credential documentation. Please note that membership/certification in national Professional organizations is only for use by applicants for whom discipline licensure is not available. In states where licensure is applicable, required documentation will be a copy of your current license.
Required: All applicants must submit a minimum of two completed reference forms with the application via fax to 301-869-8608 or email to memberservices@agpa.org.
The Registry will use two types of reference forms to meet this requirement: the Supervision Verification Reference Form and the Group Psychotherapy Colleague Reference Form. Supervision Verification Reference Forms are completed by applicant's group psychotherapy supervisors. Group Psychotherapy Colleague Reference Forms are completed by colleagues who are practicing group psychotherapists and are familiar with applicant's group psychotherapy skills. Please note that family members may not be used on either type of reference form. Applicants are required to submit completed Supervision Verification Reference Forms for all supervision used to meet the 75 hour group psychotherapy supervision requirement with the following exceptions: In those cases where a single group psychotherapy supervisor has provided the 75 hours of group psychotherapy supervision, applicant may substitute a Group Psychotherapy Colleague Reference Form for the second reference. In those cases where applicant cannot locate one or both supervisors, Group Psychotherapy Colleague Reference Forms may be substituted provided applicant states, on the Eligibility Form on the following web pages, the reasons supervisor(s) is not reachable.
The National Registry of Certified Group Psychotherapists requires that you submit a current copy of your professional liability insurance certificate (not the policy). Please be aware that most third party reimbursers require verification that clinical providers have liability coverage.
The Registry will require a recertification process every two years. Eighteen (18) hours of continuing education in group psychotherapy will be a requirement for recertification as well as active state licensure and/or active clinical membership/certification status with designated national professional organizations. Detailed information will be forwarded upon Registry acceptance.
Please read the statement carefully before providing your electronic signature
The Practice Profile will be used to describe your current group psychotherapy practice in the Registry. In combination with your clinical credentials, this profile will identify you to users of the Registry. Please be sure to select no more than four items from each section.
Certification Fee: $420.00 Current AGPA Members receive discount fee: $295.00 Payment may be made by Visa, Mastercard or American Express online. 50% of the amount paid is a non-refundable processing fee. Please note that this is a one time, initial fee; there will be a nominal fee for recertification every two years.
Apply now by clicking the "Continue to Apply for Certification" button below. You will have the opportunity to update your contact information and practice profile so that it is current in the Online E-Directory.