# Title 66 — Psychologist Examiners, Board of

## Article 66-04 — Predoctoral Psychology Internship Program

## Chapter 66-04-01 — Predoctoral Psychology Internship Program

### § 66-04-01-01. Definitions.

As used in this article, unless the context otherwise requires:
1. "Applicant" means an individual seeking registration as a predoctoral psychology intern
pursuant to this article.
2. "Board" means the North Dakota board of psychologist examiners.
3. "Internship program" means a predoctoral psychology internship program.
4. "Internship supervisor" or "supervisor" means a psychologist who supervises a psychology
intern in an internship program pursuant to this article.
5. "Psychological services" means any observation, description, evaluation, interpretation or
modification of human behavior based upon psychological principles, methods, or procedures
for the purposes of preventing or eliminating symptomatic, maladaptive, or undesired behavior
or to enhance interpersonal relationships, work and life adjustment, personal effectiveness,
behavioral health, or mental health; any psychological testing, evaluation, or assessment of
personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and
neuropsychological functioning; counseling, psychotherapy, biofeedback, behavior analysis
and therapy, clinical applications of hypnosis, or other therapeutic techniques based upon
psychological principles; diagnosis and treatment of mental and emotional disorder or
disability, compulsive disorders, disorders of habit or conduct, as well as the psychological
aspects of physical illness, accident, injury, or disability; and psychoeducational evaluation,
therapy, remediation, or consultation. The term applies whether the services were provided to
individuals, families, groups, organizations, institutions, or the public.
6. "Psychologist" means an individual who is licensed by the board under North Dakota Century
Code chapter 43-32.
7. "Psychology intern" or "intern" means an individual who is registered by the board and is
actively engaged in supervised practice.
8. "Supervisory relationship" means the relationship between a supervisor and a psychology
intern.
History: Effective October 1, 2024.
General Authority: NDCC 43-32-35

Law Implemented: NDCC 43-32-35
### § 66-04-01-02. Application and certification requirements.

1. An individual who intends to participate in an internship program must be certified by the
board as a predoctoral psychology intern by submitting the appropriate application to the
board if the applicant wishes to obtain predoctoral supervised experience required pursuant to
subsection 1 of section 66-02-01-11.1.
2. Unless otherwise approved by the board, an applicant shall provide the board with proof the
applicant is currently enrolled to obtain a doctoral degree from a program which is accredited
by the American psychological association, Canadian psychological association, or other
accrediting body approved by the board under the requirements of subsection 1 of North
Dakota Century Code section 43-32-20.
3. Certification as a psychology intern is effective for two years unless otherwise approved by the
board.
History: Effective October 1, 2024.
General Authority: NDCC 43-32-35
Law Implemented: NDCC 43-32-35
### § 66-04-01-03. Supervision contract.

Prior to the psychology intern's participation in an internship program, an internship supervisor shall
provide the board with a copy of the written agreement between the internship supervisor and the
internship program for each psychology intern for whom the supervisor intends to provide supervision.
The agreement must include, without limitation:
1. An outline of the skill level of the psychology intern at the beginning of the supervised
experience.
2. The goals of the supervised experience of the psychology intern.
3. A format and procedure for reporting the internship program the following information
regarding the psychology intern:
a. The intern's progress in building skills;
b. The intern's progress toward meeting the goals specified in subsection 2; and
c. Any areas requiring continued growth.
4. An acknowledgement that the written agreement must be in place for the psychology intern to:
a. Have lawful and ethical access to patients and the protected health information of
patients; and
b. Use the intern's supervised experience to make progress toward a degree, certification,
or license.
History: Effective October 1, 2024.
General Authority: NDCC 43-32-35
Law Implemented: NDCC 43-32-35
### § 66-04-01-04. Qualifications of internship supervisor.

1. A psychologist who wishes to serve as an internship supervisor for a psychology intern must:

a. Unless otherwise approved by the board, be licensed to practice psychology as the
phrase practice of psychology is defined by subsection 6 of North Dakota Century Code
section 43-32-01; and
b. Except as otherwise approved by the board, have been licensed by the board to practice
psychology for more than three years.
2. Any psychologist who wishes to serve as an internship supervisor must complete training in
clinical supervision prior to serving as a supervisor, including the completion of three hours of
continuing education every two years regarding clinical supervision.
3. Prior to serving as a supervisor, any psychologist who wishes to serve as a supervisor shall
provide the board with verified documentation of the following:
a. Completion of training in clinical supervision; and
b. Verification of the current status of any professional licenses held by the supervisor,
including documentation and an explanation of any disciplinary action taken against any
of the supervisor's professional licenses.
4. A psychologist wishing to serve as an internship supervisor who is currently licensed as a
psychologist by the board shall be exempt from providing verification regarding the current
standing of the supervisor's respective license if the supervisor's licensure was issued by the
board.
History: Effective October 1, 2024.
General Authority: NDCC 43-32-35
Law Implemented: NDCC 43-32-35
### § 66-04-01-05. Supervision requirements.

1. A psychology intern is subject to all relevant statutes and rules of the board.
2. If an internship supervisor delegates patient care responsibilities to a psychology intern, the
supervisor is responsible for all psychological services provided by each intern. The primary
responsibility for all psychological services rendered to each patient by an intern rests with the
internship supervisor.
3. An internship supervisor shall keep records of all supervision. These records must detail any
training supervision plans and cosupervision agreements, dates of supervision meetings,
notes regarding specific patients, cases reviewed, and a description of the services provided
by the psychology intern.
4. A supervisor shall meet individually with each psychology intern the supervisor supervises at
least once per week for a minimum of two hours to discuss and critique the performance of
the psychology intern.
5. The supervisor responsible for each patient's care shall maintain documentation in such
patient's medical record to demonstrate what services were provided to each patient and that
the services provided to the patient were performed under the supervision of the supervisor.
The supervisor shall check and update each patient's medical record at least every two weeks
and shall ensure all payment requirements have been satisfied.
6. A psychology intern shall provide services in a suitable professional setting over which the
supervisor has organizational responsibility for assignment and management of the
psychology intern's professional activities.

7. A supervisor shall make reasonable efforts to ensure the work of the psychology intern is
conducted only for patients the psychology intern is competent to provide services and that
such services are performed in compliance with the provisions of the North Dakota Century
Code and these rules.
8. A supervisor has the responsibility to ensure each patient is clearly informed of the
relationship between the supervisor and the psychology intern, and each other's professional
and legal responsibilities for the psychological services rendered to the patient. All patients
must be informed of the supervised nature of the services provided by the psychology intern,
and the professional responsibility of the supervisor. In the case of an adult, any legally
competent patients receiving psychological services from the psychology intern must be
provided this information in the form of a written statement that must be explained and
provided to each patient during the initial professional contact with the intern. For patients who
lack competency because of disability or minority, the written statement must be provided to
the legal guardian or representative of the patient.
9. The written statement provided to each patient must include the following:
a. A brief description of the psychological services to be provided by the psychology intern
and supervisor, a schedule of charges, and an indication that billing will be through the
supervisor, agency, or institution under the supervisor's name;
b. The name, license number, professional address and telephone number of the
supervisor and psychology intern;
c. A statement regarding the limits of confidentiality, including any mandatory reporting
requirements as identified within North Dakota law;
d. A statement regarding the parameters of the professional relationship between the
supervisor and the between the supervisor, psychology intern, and patient;
e. A statement regarding the availability of the supervisor to meet with the patient on
request;
f. A statement regarding the supervisor's periodic review of patient records and progress;
and
g. The statement shall include the signatures of the supervisor, psychology intern, and the
patient or legal guardian.
10. A supervisor shall prepare records that will enable the supervisor to:
a. Effectively train and evaluate each psychology intern whom the supervisor supervises;
and
b. Accurately determine the number of hours of supervised experience obtained by each
psychology intern whom the supervisor supervises.
11. A supervisor shall maintain all records relating to the supervision of a psychology intern,
including, without limitation, any records of psychological services provided by the psychology
intern to any patient. The supervisor shall retain these records for no less than five years after
the last date of supervision. Upon request, such records shall be made available to the board
for inspection.
12. A supervisor shall notify the board within ten days after the supervision of a psychology intern
is completed or terminated.

13. If a supervisory relationship is terminated due to the actions of a psychology intern which may
have a direct bearing upon the psychology intern's ability to serve the public in the practice of
psychology, the supervisor shall provide an explanation to the board detailing the reason for
the termination of the supervisory relationship.
History: Effective October 1, 2024.
General Authority: NDCC 43-32-35
Law Implemented: NDCC 43-32-35
### § 66-04-01-06. Compensation.

1. Except as otherwise provided in this section, a psychology intern may be paid a fixed wage on
a periodic basis and may not be paid on a percentage of the fees received. An employment
agreement between a supervisor and psychology intern which does not provide for the
payment of a wage may be approved by the board if the board determines the agreement is in
the best interest of the psychology intern.
2. A psychology intern may not receive fees for professional services except as the agent of the
psychology intern's employing supervisor or agency.
3. Except as otherwise provided in this section, a supervisor may not accept compensation from
a psychology intern for supervision. In extenuating circumstances, the board may approve the
acceptance of such compensation by a supervisor. Any agreement concerning the
compensation of a supervisor by a psychology intern for supervision must be approved by the
board before it becomes effective.
4. A supervisor shall ensure that the emphasis of the supervised experience of a psychology
intern whom the supervisor supervises is on the training of the psychology intern, rather than
on the raising of revenue by the psychology intern.
5. Supervisors in private practice settings may charge for individual supervision only and shall
limit their fee for an individual face-to-face supervision hour that does not exceed the
supervisor's reasonable and standard hourly fee for professional services to a patient.
History: Effective October 1, 2024.
General Authority: NDCC 43-32-35
Law Implemented: NDCC 43-32-35
### § 66-04-01-07. Restrictions to supervision of psychology intern.

1. A supervisor shall not provide supervision of psychology services to a person who has
administrative or funding authority over the supervisor.
2. A supervisor shall not provide supervision to a person whom the supervisor is associated in
any business relationship except one where the psychologist or school psychologist is an
employer of the psychology intern for the practice of psychology or school psychology.
3. A supervisor shall not assume supervisory responsibility for psychological services that the
supervisor is not personally competent to perform and shall not permit any intern to provide
psychological services to any patient for which the supervisor is not personally competent to
perform.
4. A supervisor shall not supervise any person whom the supervisor knows is illegally providing
psychological services to the public either within or outside the supervisory relationship.
5. A supervisor shall not supervise a psychology intern if that supervision involves a potential
conflict of interest, including, without limitation, supervision of a psychology intern:

a. Who is a member of the supervisor's household;
b. Who is related to the supervisor by blood, adoption or marriage, within the third degree of
consanguinity or affinity;
c. With whom the supervisor has had or is having an intimate relationship; or
d. With whom the supervisor has a financial or business relationship, including, without
limitation, an agreement concerning compensation of the supervisor by the psychology
intern for supervision, unless the financial or business relationship is approved by the
board.
6. A supervisor may not serve as a primary supervisor to more than four psychology interns at
one time.
History: Effective October 1, 2024.
General Authority: NDCC 43-32-35
Law Implemented: NDCC 43-32-35
