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01_Licensure_Application_Forms


     LPC Application.pdf – (July 08 2014 11:03)

     LPC Associate Application.pdf – (July 08 2014 11:02)

     LPC by Endorsement Application.pdf – (July 08 2014 11:06)

     LPC Supervisor Application.pdf – (July 08 2014 11:08)

     LPC Associate to LPC Application 2014.pdf – (July 08 2014 11:14)

02_Supervision_Forms


     Qualified_Supervisor_Information.pdf – (May 07 2010 14:57)

     Final_Supervision_Report.pdf – (February 22 2012 17:01)

     Quarterly_Supervision_Report.pdf – (February 22 2012 16:55)

     Supervision Simplified.pdf – (May 18 2012 13:28)

     Supervision_Log.pdf – (October 03 2009 16:14)

     Supervison_Contract.pdf – (February 22 2012 16:58)

     Verification_of_Graduate_Counseling_Experience_Form.pdf – (April 22 2010 12:59)

     Verification_of_Supervised_Professional_Practice.pdf – (February 22 2012 17:00)

03_Professional_Experience_Form


     Verification of Professional Counseling Experience.pdf – (March 07 2014 09:14)

04_Exam_Scores


     Request_for_NCE-NCMHCE_Scores.pdf – (April 22 2010 13:23)

     Request_for_CRC_Scores.pdf – (May 02 2012 16:13)

05_Exam_Registration_Forms


     Jurisprudence Exam.pdf – (October 26 2011 07:34)

     NCE – NCMHCE 2014 Exam Registration form.pdf – (December 17 2013 08:58)

     NCE-NCMHCE_Candidate_Handbook_for_State_Credentialing.pdf – (August 19 2008 14:33)

06_Professional_Disclosure


     PDS_Instructions_for_LPCA.pdf – (May 07 2010 15:11)

     PDS_Instructions_LPCS.pdf – (May 07 2010 15:11)

     PDS_Instructions_for_LPC.pdf – (May 07 2010 15:11)

     Template for LPC Professional Disclosure Statement.doc – (January 15 2014 10:25)

     Template for LPCA Professional Disclosure Statement.doc – (January 15 2014 10:25)

     Template for LPCS Professional Disclosure Statement.doc – (January 15 2014 10:25)

07_Payment_Form


     Credit_Card_Payment_Form.pdf – (July 01 2014 15:10)

08_Renewal_Forms


     Ethics Attestation Certification and Agreement.pdf – (March 13 2014 15:27)

     2014 Renewal Form.pdf – (June 30 2014 14:21)

     2014 Renewal Guidelines.pdf – (June 30 2014 14:49)

09_Professional_Counseling_Corporation_Forms


     Incorporation_Instructions.pdf – (November 13 2012 15:21)

     Professional_Counseling_Corporation_Application.pdf – (May 26 2010 11:17)

10_Complaint_Form


     Complaint_Form.pdf – (June 02 2003 11:01)

11_Change_of_Address_Name_Change_Forms


     Change of Address.pdf – (June 25 2012 16:39)

     Name Change and Request for Duplicate License.pdf – (June 25 2012 16:40)

12_Exam_Briefs


     Confidentiality.pdf – (August 10 2011 13:01)

     Chapter_108A.pdf – (August 10 2011 12:56)

     Minors.pdf – (August 10 2011 13:11)

     Chapter_7B_101_301_302_303_Definitions.pdf – (August 10 2011 12:59)

     Clients_in_Facilities.pdf – (August 10 2011 12:59)

     Confidentiality_HIV_AIDS.pdf – (August 10 2011 13:00)

     Confidentiality_Social_Media.pdf – (August 10 2011 13:01)

     Counseling_Records.pdf – (August 10 2011 13:02)

     Counseling_and_Involuntary_Commitment.pdf – (August 10 2011 13:02)

     Graduate_Counseling_Experience.pdf – (August 10 2011 13:08)

     HIPAA_Privacy_Rule_Records.pdf – (August 10 2011 13:09)

     LPC_Regulations_Professional_Ethics.pdf – (August 10 2011 13:10)

     LPC_Supervisor.pdf – (August 10 2011 13:10)

     Licensed_Professional_Counselor.pdf – (August 10 2011 13:09)

     Supervised_Professional_Practice_LPCA.pdf – (August 10 2011 13:13)

     Prof_Relationships_Prof_Corporations.pdf – (August 10 2011 13:11)

     Professional_Relationships_Sexual.pdf – (August 10 2011 13:12)

     Substance_Abuse_Confidentiality.pdf – (August 10 2011 13:12)

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