NC BLCMHC Verification of Supervised Professional Practice 2017 free printable template

Verification of Supervised Professional Practice To be completed by LPC Applicants and Supervisors Indicate to which Applicant this supervised professional practice form applies: Name: VERIFICATION

How to fill out NC BLCMHC Verification of Supervised Professional Practice

How to fill out NC BLCMHC Verification of Supervised Professional Practice

1. Obtain the NC BLCMHC Verification of Supervised Professional Practice form from the official NC BLCMHC website.
2. Read the instructions carefully to ensure you understand the requirements.
3. Complete your personal information, including your name, address, and contact details.
4. Provide details of your supervisor, including their name, credentials, and contact information.
5. Fill in the dates of your supervised practice along with the total number of hours completed.
6. List the specific activities you engaged in during your supervision.
7. Ensure that the supervising professional signs the form to verify the information provided.
8. Double-check all entries for accuracy and completeness.
9. Submit the completed form as directed, along with any required fees or additional documentation.

Who needs NC BLCMHC Verification of Supervised Professional Practice?

1. Individuals seeking licensure or certification as a mental health counselor in North Carolina.
2. Graduate students completing their supervised practice as part of their degree program.
3. Professionals transitioning to a new field or specialty within mental health counseling.
4. Any counselor requiring validation of their supervised practice hours for application purposes.

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What is NC BLCMHC Verification of Supervised Professional Practice?

NC BLCMHC Verification of Supervised Professional Practice is a formal process used to confirm that a candidate has completed a specified amount of supervised professional practice in the field of mental health counseling, as required for licensure in North Carolina.

Who is required to file NC BLCMHC Verification of Supervised Professional Practice?

Individuals seeking licensure as a Licensed Professional Counselor (LPC) in North Carolina are required to file the NC BLCMHC Verification of Supervised Professional Practice to demonstrate their completed supervised experience.

How to fill out NC BLCMHC Verification of Supervised Professional Practice?

To fill out the NC BLCMHC Verification of Supervised Professional Practice, candidates should provide accurate details of their supervised practice, including the name of the supervisor, dates of supervision, types of services provided, and specific hours worked under supervision.

What is the purpose of NC BLCMHC Verification of Supervised Professional Practice?

The purpose of the NC BLCMHC Verification of Supervised Professional Practice is to ensure that candidates have received adequate training and supervision in clinical practices, ensuring they are qualified to provide mental health counseling services before obtaining licensure.

What information must be reported on NC BLCMHC Verification of Supervised Professional Practice?

The NC BLCMHC Verification of Supervised Professional Practice must report details such as the supervisor's credentials, the total hours of supervised practice, the types of counseling provided, and an affirmation that the candidate has met the required standards for supervision.