NC NCBLPC Quarterly Supervision Report 2012-2025 free printable template

Quarterly Supervision Report To be filed for LPCAs with approved supervision contracts. Indicate to which LPC Associate this quarterly supervision report applies LPC Associate Name LPCA INSTRUCTIONS 1. PRINT or TYPE using BLACK Ink to complete this quarterly supervision report. 2. ALL SECTIONS must be completed or the quarterly supervision report will be returned. 3. The quarterly supervision report should be mailed to the Board Office at NCBLPC ...

How to fill out 2012 nc ncblpc report form licensed counselors fillable

How to fill out NC NCBLPC Quarterly Supervision Report

1. Obtain the NC NCBLPC Quarterly Supervision Report form from the official website.
2. Review the requirements and instructions provided on the form.
3. Fill in your personal information, including your name and license number at the top.
4. Document the dates for the supervision period you are reporting on.
5. Note down the names and credentials of your supervisor.
6. Describe the types of supervision activities conducted during the quarter.
7. Summarize your progress, learning experiences, and any challenges faced.
8. Include your supervisor's signature and any additional required signatures.
9. Double-check all entries for accuracy and completeness.
10. Submit the completed report by the designated deadline.

Who needs NC NCBLPC Quarterly Supervision Report?

1. Licensed professional counselors in North Carolina who are required to maintain supervision.
2. Supervisors who are overseeing the work of associate level counselors.
3. State licensing board members for compliance and review purposes.

Video instructions and help with filling out and completing 2012 nc ncblpc quarterly professional form

Instructions and Help about 2012 nc lpc quarterly form licensed print

Hi Chuck Rogers a Sandhurst Counseling Center I've been working with families for more than 25 years now here in the central Virginia Airy area and as a clinician I also like doing supervision as well I'd like to talk to you for just a little about this whole piece of supervision and becoming a licensed professional counselor or becoming a licensed Marriage and Family Therapist and I have two types of supervision that I provide one is individual which is the more traditional kind and also provide group supervision as well and during supervision what we'll do is we'll take a look at the various parts of the counseling relationship we'll take a look at things like diagnosis, and we'll look at the pros and the cons thereof of diagnosis, and then we'll look at ongoing treatment as well and if you already have an individual supervisor that's great and if you'd like to add the aspect of group supervision to it, we can do that with me as well of course one of the great benefits of group supervision is that it's just a tremendous amount cheaper, so we can lighten your load a little there in the wallet I'm currently providing supervision at a group rate of eighty dollars per month and that meets twice a month in addition to the cost savings it'll be for group supervision it's also just really, really helpful to your input other people about what they're doing and what they're going through and also input from them to you about your cases supervision can also be done by secure video conferencing and this is working really nice for us at this time we can also look at whether it's something that is an in your state and if so to what degree for instance if you're here in Virginia and you want to do supervision by electronic method or a counseling relationship has to begin in person, but after you begin in person then it can continue by an electronic method some type of e conferencing, and I'll talk to you about that as well so if you're unsure and would like to discuss it further please feel free to give me a call, and I'll be glad to discuss it with you and that won't cost you anything so Chuck Rogers a Sandhurst counseling center give me a call at four 34 to 37 2655 look forward to talking with you and hearing from you and helping you to get on the road to becoming a licensed professional counselor or a licensed Marriage and Family Therapist

People Also Ask about 2012 nc lpc supervision report form counselors fillable

How many hours do you need for LPC PA?

How many hours of supervised clinical experience are required and how long do I have to complete my hours for licensure as a professional counselor? A: 3000 hours of supervised clinical experience are required.

How many direct hours do you need for LPC in PA?

In Pennsylvania, some of the requirements are: 3,000 total hours in a minimum of two years and a maximum of 6 years. 1,500 hours must be direct client contact, while the remaining 1,500 may be indirect work with clients.

What do I need for an LPC in PA?

Pennsylvania Licensure Requirements Degree Requirement: Master's Degree or Doctoral Degree. Examination: 1 Examination. Experience: Experience Requirement Varies Based on Degree. Continuing Education: 3 Hours (for initial licensure) Licensure Renewal Fee: $95.00.

How do I become a licensed therapist in PA?

Pennsylvania Licensure Requirements Degree Requirement: Master's Degree or Doctoral Degree. Examination: 1 Examination. Experience: Experience Requirement Varies Based on Degree. Continuing Education: 3 Hours (for initial licensure) Licensure Renewal Fee: $95.00.

How do I become a clinical supervisor in PA?

Pennsylvania Education/ Licensure Requirements: Must have, at minimum, a Master's degree in social work, counseling, chemical dependency, nursing, medicine, psychology, or related fields or full certification as addictions counselor (CADC, CAADC, CAAC, CCJP, CCS) through a statewide certification body.

What are the supervision requirements for LPC in PA?

Supervision must be provided by a qualified supervisor. At least 1,800 hours must be completed under an LPC that has 5 years of experience within the last 10 years as a professional counselor. There should be 2 hours of supervision for every 40 hours of client hours.

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What is NC NCBLPC Quarterly Supervision Report?

The NC NCBLPC Quarterly Supervision Report is a document that licensed supervisors in North Carolina are required to complete to report on the status and progress of their supervisees during their clinical training.

Who is required to file NC NCBLPC Quarterly Supervision Report?

Licensed supervisors in North Carolina who are overseeing applicants for licensure in professional counseling are required to file the NC NCBLPC Quarterly Supervision Report.

How to fill out NC NCBLPC Quarterly Supervision Report?

To fill out the NC NCBLPC Quarterly Supervision Report, supervisors should gather information about the supervisee’s activities, progress, and any issues encountered during the quarter. Then, they should complete the report form accurately and submit it according to the guidelines provided by the NCBLPC.

What is the purpose of NC NCBLPC Quarterly Supervision Report?

The purpose of the NC NCBLPC Quarterly Supervision Report is to provide a structured way for supervisors to document and communicate the developmental progress of their supervisees, ensuring that they meet the required standards for clinical training.

What information must be reported on NC NCBLPC Quarterly Supervision Report?

The NC NCBLPC Quarterly Supervision Report must include information such as the supervisee's hours of supervision, client interactions, supervisory activities, skills developed, challenges faced, and any ethical or legal compliance issues.