Counseling

License Type Applications

Associate Counselor (LAC)

Professional Counselor (LPC) for existing LAC 

Professional Counselor (LPC)

 BOARDAL

 

Forms for LPC Applicants Print Submit
Verification of Supervised Work Experience PRINT PDF SUBMIT ONLINE
Verification of Clinical Supervision PRINT PDF SUBMIT ONLINE
Clinical Supervisor Exemption Request   SUBMIT ONLINE
 
If an exemption is required for a clinical supervisor not employed at the same agency as the supervisee, a sample contract form is provided below which would meet requirements A.A.C. R4-6-212.01(1)(b)(i)(ii).  This form may be used by the agency/clinical supervisor as a stand alone document, however it is not required.
 
Sample Clinical Supervision contract form
 

Supervision

  • Employers and Supervisors can now utilize the forms above to submit the required verification forms for their supervisees.  Forms may not be submitted directly from a supervisee unless they are in a signed, sealed envelope with an application.
  • For information on acquiring supervised work experience and clinical supervision click here.
  • Cheat Sheet: Counseling Supervision Requirements for Independent Licensure

Approved or Accredited programs

  • To verify if your masters degree is CACREP accredited or previously approved by the Board, click here.

Testing Information

Association

If an applicant believes they meet the requirements of A.R.S. § 41-1080.01, please contact the Board at (602) 542-1882 for more information.