Loading
Form preview picture

Get MD Application Instructions Transfer From LGPC To LCPC 2018-2024

Board of Professional Counselors and Therapists 4201 Patterson Avenue Suite 316 Baltimore Maryland 21215 410-764-4732 or 410-764-4735 www. dhmh. state. md. ud/bopc/ 1. Application. An application for the LCPC and ATTACHMENT FORMS are required of all applicants. APPLICATION INSTRUCTIONS Transfer from LGPC to LCPC Application Fill out application. Send the application and clinical documentation form s and reference forms in ONE packet. Board of Professional Counselors and Therapists 4201 Patterson Avenue Suite 316 Baltimore Maryland 21215 410-764-4732 or 410-764-4735 www. APPLICATION INSTRUCTIONS Transfer from LGPC to LCPC Application Fill out application* Send the application and clinical documentation form s and reference forms in ONE packet. Board of Professional Counselors and Therapists 4201 Patterson Avenue Suite 316 Baltimore Maryland 21215 410-764-4732 or 410-764-4735 www. dhmh. state. md. ud/bopc/ 1. Application* An application for the LCPC and ATTACHMENT FORMS are required of all applicants. The application must be typed or printed legibly. 2. Fee Application fee of 75. 00 must be included with the application* Make your check payable to the The Board will review your application and notify you of your eligibility. At that time you will be required to pay the license fee which is 100. 00. 3. Experiential Requirement 3 years/3 000 hours of supervised clinical experience in professional counseling. 2years/2 000 hours must be post-master s. 1 500 hours must be face-to-face client contact hours with the client physically present and 100 hours post-graduate clinical supervision with the supervisor physically present. The Clinical Supervision Forms must be notarized* 4. Professional Reference Forms Three are required* Baltimore MD 21215 3rd Floor APPLICATION FOR LICENSE CLINICAL PROFESSIONAL COUNSELOR APPLICATION DATE I AM APPLYING FOR LCPC GENERAL INFORMATION Name Dr. Mr. Ms. Last First MI Date of Birth Home Address Street City State Zip Code Business Address Social Security Number Telephone Number Home Work E-Mail Address EXAMINATION REQUIRED Have you successfully passed the National Counselors Examination NCE and the State Law Test Yes No If the answer is NO stop here and contact the Board. You must pass both before proceeding. a* Have you ever been denied an initial application reinstatement or renewal of a license and /or certificate by any state licensing or disciplinary board If yes explain reason s. b. Has any state licensing or disciplinary board ever taken any action against your license and/or certification including but not limited to limitations of practice required education admonishment reprimand revocation suspension c* Has an investigation or charges ever been brought against you by any licensing or disciplinary board d. Have you pled guilty nolo contendre or been convicted of or received probation before judgment or any criminal act excluding traffic violations If yes provide the following information Date of Conviction Where convicted Charge If conviction was set aside give date and explain using additional pages if necessary.

How It Works

lgpc transfer to lcpc application maryland rating
4.8Satisfied
56 votes

Tips on how to fill out, edit and sign Maryland lcpc form online

How to fill out and sign Md application lgpc online?

Get your online template and fill it in using progressive features. Enjoy smart fillable fields and interactivity. Follow the simple instructions below:

Have you been seeking a quick and convenient tool to fill in MD Application Instructions Transfer from LGPC to LCPC at an affordable price? Our platform provides you with a rich library of templates that are offered for filling in online. It only takes a couple of minutes.

Keep to these simple guidelines to get MD Application Instructions Transfer from LGPC to LCPC prepared for submitting:

  1. Select the form you need in the library of templates.
  2. Open the document in the online editing tool.
  3. Read the recommendations to determine which information you need to provide.
  4. Choose the fillable fields and put the necessary info.
  5. Put the relevant date and place your e-signature after you complete all of the fields.
  6. Check the completed form for misprints as well as other mistakes. In case there?s a need to change something, our online editor as well as its wide variety of instruments are at your disposal.
  7. Download the completed document to your device by hitting Done.
  8. Send the e-form to the intended recipient.

Submitting MD Application Instructions Transfer from LGPC to LCPC doesn?t need to be complicated any longer. From now on comfortably cope with it from home or at your office straight from your mobile device or desktop.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.

Video instructions and help with filling out and completing lgpc lcpc

Are you bored of long instructions and confusing queries in official documents? Using our quick video guide and web-based editor will help you fill out and sign Form without the usual frustration.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.

Keywords relevant to MD Application Instructions Transfer From LGPC To LCPC

  • avg
  • LGPC
  • Pearson
  • nce
  • comar
  • CHRC
  • boyd
  • Neall
  • VUE
  • lCPC
  • CJIS
  • lic
  • 05b
  • coursework
  • credentialing
If you believe that this page should be taken down, please follow our DMCA take down processhere.
Ensure the security of your data and transactions

USLegal fulfills industry-leading security and compliance standards.

  • 
                            VeriSign logo picture

    VeriSign secured

    #1 Internet-trusted security seal. Ensures that a website is free of malware attacks.

  • Accredited Business

    Guarantees that a business meets BBB accreditation standards in the US and Canada.

  • 
                            TopTenReviews logo picture

    TopTen Reviews

    Highest customer reviews on one of the most highly-trusted product review platforms.