Online Forms

• How to Apply for Licensure (includes Required Course Work) READ THIS FIRST

License Application Forms:

• Licensure Laws & General Statute
• Code of Ethics
• Instructions for Professional Disclosure Statement
• Licensure Application - document request

• Professional Reference & Verification of Supervision Form
• Verification of Arrangements for Clinical Supervision Form
• Supervision Monitoring Quarterly Report Form
• Supervision Information Sheet

• Request for NCE Scores

• Credit Card Payment Form

• Complaint Form

• PCC Application
• Profession Counceling Corporation Act, Chapter 55B

• New Revised Renewal Guidelines
• Biennial Renewal & Request for Continuing Education Activities Approval Form
• Ethics Attestation, Certification and Agreement Form

• NCE/NCMHCE Exam Registration

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