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19115 FM 2252, Ste. 12, San Antonio, TX 78266 2109510049 www.abidinghopecc.comKelly Anderson, Painter Supervised by Shelly Cook, PCs, RATS INFORMED CONSENT FOR INDIVIDUAL THERAPY, TREATMENT AGREEMENT
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Gather all necessary forms and documents required for the application process.
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Fill out the personal information section accurately, including your full name, contact information, and social security number.
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Provide information about your educational background, including the college or university you attended, your major, and your degree achieved.
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Provide information about your professional experience, including any internships or relevant work experience in the counseling field.
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Fill out the section that requires information about the supervisor you will be working under as an LPC-Intern. Include their name, contact information, and their LPC license number.
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Complete any additional sections or questions as required by the licensing board.
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Kelly Anderson LPC-Intern Supervised refers to a specific licensing or internship program where a Licensed Professional Counselor Intern (LPC-Intern) is monitored and guided by a licensed supervisor.
Individuals who are registered as LPC-Interns and are practicing under supervision are required to file the Kelly Anderson LPC-Intern Supervised form.
To fill out the Kelly Anderson LPC-Intern Supervised form, applicants must provide their personal information, details of their supervised practice, and any required signatures from their supervisor.
The purpose of the Kelly Anderson LPC-Intern Supervised is to ensure that LPC-Interns are receiving adequate supervision and guidance during their internship period, ultimately enhancing the quality of mental health services.
The form typically requires reporting personal identification information, the duration of supervised practice, the supervisor's details, and any relevant counseling experience.
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