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California Genetic Counselor Licensure Program

How to Request Verification of Your California License:

I am applying for a Genetic Counselor license in another state, and they are requiring verification of my California license; how will I obtain this information?

If you need a verification letter stating that you have a Genetic Counselor license in good standing with the California Department of Public Health, Genetic Disease Screening Program, you will need to logon to your existing Genetic Disease Screening Program Portal account; and click on the download License Verification button.

If you are requesting license verification for a state that requires our state seal and/or their form to be completed by our department, you will need to complete the CDPH Form 4491 and provide any additional paperwork required by the state that is requesting verification.

 You may submit your request by faxing CDPH Form 4491 at (510) 412-1551 or mail your request to:

Genetic Disease Screening Program

Genetic Counselor Licensure Program

Attention: Theresa Harris - Verification Request

850 Marina Bay Pkwy, F-175

Richmond, CA 94804.

PLEASE ALLOW 14-21 BUSINESS DAYS FOR PROCESSING, MAILING AND DELIVERY OF YOUR REQUEST

You may call to inquire about the status of your license verification request only after the 21-day processing period has expired (21 days after you submitted your request) at (510) 412-6212.

This service is free

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