Formulaire

Registration of psychologists in the Adeli Directory (Form 12269*03)

Cerfa 12269*03

Enables you to register with the Adéli directory of health professions (Adéli number) and obtain the pre-filled application form for the allocation of the health professional card (CPS). It is necessary to present the original diplomas, certificates, diplomas or authorizations.

    Fill out the form

    To whom shall I send this form ?

    J'ai réalisé une démarche administrative

    Je donne mon avis sur Services Publics +. L'administration concernée me répondra.

    Je donne mon avis

    Émetteur du formulaire administratif : Ministry of Health

    Verified 27 June 2019 - Directorate for Legal and Administrative Information (Prime Minister)