Applications and Forms

Obtain a copy of the following publications now - click on your selection.

• Name Change and/or Duplicate License Form (Word format,  75 KB)
• Name Change and/or Duplicate License Form (Adobe Acrobat format, 28 KB)

LPC Consumer Complaints Sign

• LPC Consumer Complaints Sign (Word format, 25 KB)
• LPC Consumer Complaints Sign (Adobe Acrobat format, 10 KB)

• Select this link to download or print the Texas Registration Form for the National Counselor Examination for Licensure and Certification (NCE) (Adobe Acrobat format, 67 KB)

Continuing Education Provider Application

• Continuing Education Provider Application (Word format, 68KB)
• Continuing Education Provider Application (Adobe Acrobat format, 52 KB)

Continuing Education Provider Renewal Form

• Continuing Education Provider Renewal Form (Word format, 62 KB)
• Continuing Education Provider Renewal Form (Adobe Acrobat format, 52 KB)

Supervision Log (Example)

• Supervision Log Form (Word format, 69 KB)
• Supervision Log Form    (Adobe Acrobat format, 76 KB)

#F75-13346 LPC Application Packet

• #F75-13346 LPC Application Packet (Word format, 82 KB)
• #F75-13346 LPC Application Packet (Adobe Acrobat format, 120 KB)

Forms below are also found in the LPC Application Packet (available to download separately)

Application Information

• Application Information, (Word, 41 KB)
• Application Information, (Adobe Acrobat format, 29 KB)

Licensing Information Sheet

• Licensing Information Sheet (Word format, 59 KB)
• Licensing Information Sheet (Adobe Acrobat format, 32 KB)

#F75-10757 Application for Licensure

• #F75-10757 Application for licensure (Word format, 40 KB)
• #F75-10757 Application for licensure (Adobe Acrobat format, 70KB)

#F75-10759 Renewal Form

• #F75-10759 Renewal Form (Word format, 82 KB)
• #F75-10759 Renewal Form (Adobe Acrobat format,19 KB)

#F75-10962 Practicum Form

• #F75-10962 Practicum form (Word format, 71 KB)
• #F75-10962 Practicum form (Adobe Acrobat format, 60 KB)

#F75-10967 Supervisor Agreement Form

• #F75-10967 Supervisor agreement form (Word format, 31KB)
• #F75-10967 Supervisor agreement form (Adobe Acrobat format, 63KB)

#F75-10963 Supervised Experience Documentation Form

• #F75-10963 Supervised experience documentation form (Word format, 35KB)
• #F75-10963 Supervised experience documentation form (Adobe Acrobat format, 64 KB)

#F75-10966 Supervisor Application  Form

• #F75-10966 Supervisor application (Word format, 37 KB)
• #F75-10966 Supervisor application (Adobe Acrobat format, 75 KB)

Intern Supervisor/Site Change Request Form

• Intern Supervisor/Site Change Request Form (Word format, 45 KB)
• Intern Supervisor/Site Change Request Form (Adobe Acrobat format, 24 KB)

#F75-13407 Verification of Licensure in Other Jurisdiction Form

• #F75-13407 Verification of Licensure in Other Jurisdiction (Word format, 46 KB)
• #F75-13407 Verification of Licensure in Other Jurisdiction (Adobe Acrobat format, 26 KB)
  
  

LPC Act, Occupations Code Ch. 503

• LPC Act, Occupations Code Ch. 503 (Word format, 108 KB)
  

• LPC Board Rules, 22 TAC 681

  • Download the rules (Word format, 218 KB)
  • View and Print the rules (Adobe Acrobat format, 138 KB)
    
    
• LPC Code of Ethics
  
  • Download in MS Word (59 KB)
  • View and Print in Adobe Acrobat format(27 KB)

• LPC Newsletter "The Examiner"

  • Download in MSWord format, 31 KB
  • View and Print in Adobe Acrobat format, 20 KB
    

• LPC Brochure
  The Texas State Board of Examiners of Professional Counselors (board) has developed this brochure to be used by the licensees for disbursement to their clients. This is intended to help clients understand the kind of relationship they should have with their counselor and what can be expected from counseling experience. This brochure is for general informational purposes and does not constitute a legal agreement between any person and The Texas State Board of Examiners of Professional Counselors (board). All of the information provided is believed to be accurate and reliable; however, the board assumes no responsibility for any errors. This information is not copyrighted; you are welcome to copy and distribute this brochure.

  • View and Print in Word format, 218 KB
  • View and Print in Adobe Acrobat format, 101 KB
    
    
• Licensed Mental Health Professionals in Texas-A Fact Sheet for Consumers

Select the link below to view or print the Licensed Mental Health Professionals in Texas-A Fact Sheet for Consumers brochure.

• View or print in Word format, 64 KB
• View or print in Adobe Acrobat format, 36 KB