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304-558-5494
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Charleston, WV 25301
Applications and Forms
Counseling Applications and Forms in West Virginia
Download the counseling applications and forms in West Virginia that you require.
ALPS Application
LMFT Professional Recommendation Form
Provisional LPC Application
Provisional LMFT Application
Attachment A- Request for Temp Permit
LPC Supervisor Registration Form and Contract
MFT-Supervisor Registration Form and Contract
Quarterly Log
Updated Form for Licensure
LPC Endorsement Application
LMFT Endorsement Application
Attachment B-Verif of Active Clinical Practice
Pre/Post Approval Form
Renewal Application
West Virginia Board of Examiners in Counseling
LPC Professional Recommendation Form
ALPS Application
LMFT Endorsement Application
LPC Endorsement Application
Provisional LMFT Application
Provisional LPC Application
2023 LPC Renewal Application
2023 LMFT Renewal Application
Retirement Application
Attachment A- Request for Temporary Permit
Attachment B-Verification of Active Clinical Practice
Disclosure Statement
LMFT Professional Recommendation Form
LPC Professional Recommendation Form
LMFT-Supervisor Registration Form and Contract
LPC Supervisor Registration Form and Contract
Pre/Post Approval Form
LPC Quarterly Log
Quarterly Log Instruction
Supervisor Verification and Assessment Form (SVA)
Transcript Review Sheet (TRS)
LMFT Quarterly Log