NOTE: Our system will allow you to upload the following types of files: GIF, BMP, TIF, JPG, and PDF ONLY.
Here you will find all forms related to LCMHCA.
Here you will find all forms related to LCMHCA.
A Supervision Contract must be completed using the Supervision Contract form provided by the Board. LCMHCAs must receive approval of supervision contract prior to rendering counseling services. Notifications of approvals (or denials) are sent to the Supervisor. Contracts are usually reviewed within 2 weeks of receipt.
Here you will find all forms related to LCMHC.
Here you will find all forms related to LCMHCS.
Here you will find all forms related to LCMHCS.
Here you will find all LCMHC by endorsement forms.
Here you will find all administrative forms.
You can submit your name change request through the portal and submit documentation to one of the email addresses down below. (Licensee's must provide a copy of their ID (Driver's license or SSN card) showing new legal name and one of the required documents on the form, the forms can be emailed to guerrero@ncblcmhc.org or LCMHCinfo@ncblcmhc.org or mailed in color to PO Box 77819, Greensboro, NC 27417 (faxes are not accepted).
Here you will find all corporation forms.
Disclaimer: All information provided by the North Carolina Board of Licensed Clinical Mental Health Counselors (hereafter “the Board”) on this web site is made available to provide immediate access for the convenience of interested persons. While the Board believes the information to be reliable, human or mechanical error remains a possibility, as does delay in the posting or updating of information. Therefore, the Board makes no guarantee as to the accuracy, completeness, timeliness, currency, or for any errors or omissions, or for the use or results obtained from the use of this information. All access to and use of this web site is governed by the Disclaimers as set forth by the Board.
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