Get Practicum Documentation Form - Texas Behavioral Health ...

Completing the Practicum Documentation Form is an essential step in documenting your counseling experience. This guide will provide you with user-friendly, step-by-step instructions to help you accurately fill out the form online.

Follow the steps to complete the form with ease.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter your full name in the designated fields labeled Last, First, and Middle Initial. Be sure to type or print legibly.
3. Provide your Social Security Number and Date of Birth in the specified spaces. This information is essential for identification purposes.
4. Indicate the name of the agency or organization where you completed your practicum. Note that only one form is required per site.
5. Fill in the course number of your practicum/internship as it appears on your graduate transcript.
6. Specify the name of the university that arranged your practicum, ensuring that the information is accurate.
7. Complete the start and end dates of your counseling practicum/internship in the 'From' and 'To' fields, utilizing the format mm/dd/yyyy.
8. Enter the total number of clock-hours for direct client counseling contact during your practicum/internship.
9. Provide the clock-hours for indirect client counseling contact as well.
10. Calculate the total number of clock-hours awarded for the practicum/internship and enter this value in the provided field.
11. Check all appropriate types of counseling in the types section to accurately describe your experiences.
12. In the settings section, check all relevant settings where your counseling took place.
13. Have your practicum/internship supervisor print their name and provide their credentials/title, along with the city and state of the agency.
14. Ensure your supervisor or school official signs and dates the form, affirming the completion of the practicum.
15. Once completed, save your changes, download, print, or share the form as needed.

Complete your Practicum Documentation Form online today to ensure your counseling experience is officially recorded.