Online Forms

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_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)

01_Licensure_Application_Forms

     Licensure_Application.pdf – (August 17 2011 16:06)

     Application_Process.pdf – (October 03 2009 16:11)

03_Professional_Experience_Form

     Verification of Professional Counseling Experience.pdf – (February 22 2012 17:02)

04_Exam_Scores

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

     Request_for_CRC_Scores.pdf – (October 03 2009 16:21)

05_Exam_Registration_Forms

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

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

     NCE – NCMHCE Exam Registration Form.pdf – (December 14 2011 15:46)

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)

07_Payment_Form

     Credit_Card_Payment_Form.pdf – (January 20 2011 13:07)

08_Renewal_Forms

     Ethics_Attestation_Certification_and_Agreement.pdf – (May 07 2010 15:06)

     Renewal Application Mail LPC 010112.pdf – (January 25 2012 14:43)

     LPC Renewal Application 2012.pdf – (December 20 2011 08:44)

     Renewal Guidelines 2012.pdf – (December 20 2011 08:46)

     2_Renewal Info Page 3 2012.pdf – (January 18 2012 14:08)

     LPC Supervison Contract 010112.pdf – (January 31 2012 09:49)

     LPC Supervison Contract.pdf – (January 31 2012 09:52)

09_Professional_Counseling_Corporation_Forms

     Incorporation_Instructions.pdf – (May 07 2010 15:13)

     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 – (October 03 2009 16:21)

     Name_Change_and_Request_for_Duplicate_License.pdf – (October 03 2009 16:32)

12_Old_Forms

     Professional_Reference_&_Verification_of_Supervision_Form.pdf – (May 07 2010 15:13)

     Supervision_Monitoring_Quarterly_ Report_Form.pdf – (May 07 2010 15:14)

13_Exam_Briefs

     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.pdf – (August 10 2011 13:01)

     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)

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