Forms and Publications

Applications for Licensure

Checklist for LPC Licensure

Licensed Professional Counselor (Online Only)

LPC Associate (formerly Intern) Upgrade to Licensed Professional Counselor (Online Only)

Licensed Professional Counselor-Associate (Online Only)

Licensed Professional Counselor Art Therapy Designation Application

Supervised Experience Forms

Supervisory Agreement Form

Supervision Hours Log

Practicum Documentation Form

Supervised Experience Documentation Form

Associate Supervisor Change Form

Military Forms

Military Service Member, Veteran, or Military Spouse Supplemental Form

Recognition of Out-of-State Licensure for Military Spouse

Miscellaneous Forms

Reinstatement Required Documentation Checklist

Systematic Alien Verification for Entitlements (SAVE) Form
(to be used only by non-citizen applicants for licensure)

Verification of Licensure in Other Jurisdiction

Fee Schedule

LPC Social Media Use & Electronic Communication Guidelines