Applications and Forms


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

Military Service Member, Veteran, or Military Spouse Supplemental Form

LPC Supervision Master Checklist (Example)

Name Change and/or Duplicate License Form 

LPC Consumer Complaints Sign

Inactive License Status

Continuing Education Provider Application

Continuing Education Provider Renewal Form

Texas Registration Forms for the NCE Examination for Licensure and Certification

Supervision Log (Example)

#F75-13346 LPC Application Packet

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

Application Information

Licensing Information Sheet

#F75-10757 Application for Licensure

#F75-10759 Renewal Form

#F75-10962 Practicum Form

#F75-10967 Supervisor Agreement Form

#F75-10963 Supervised Experience Documentation Form

#F75-10966 Supervisor Application  Form

Intern Supervisor/Site Change Request Form

#F75-13407 Verification of Licensure in Other Jurisdiction Form

LPC Act, Occupations Code Ch. 503

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

To access documents in Adobe Acrobat format, you must download the Acrobat Reader software. Please see the DSHS file viewing page for more information and a link to the Adobe website.

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Last updated February 24, 2015
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    Texas State Board of Examiners of Professional Counselors