Loading
Get Nc Final Supervision Report 2020-2025
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the NC Final Supervision Report online
Filling out the NC Final Supervision Report is a crucial step for LCMHC Associates to demonstrate their supervised practice. This guide will provide you with clear, step-by-step instructions to successfully complete the form online.
Follow the steps to effectively fill out the report.
- Click ‘Get Form’ button to access the NC Final Supervision Report and open it in your editor of choice.
- Indicate the LCMHC Associate's name to whom this final supervision report applies, including their LCMHCA number in the designated field.
- Complete the supervisor's information section, which includes your name, mailing address, business phone, email address, and mobile phone number.
- Fill out the final supervision section by entering the supervision period with both the start and end dates, ensuring they are formatted as mm/dd/yy.
- Check all modalities of supervision that were utilized. You can select live observation, co-therapy, audio recording, and video recording by marking the appropriate boxes.
- Provide the number of hours spent in supervised professional practice and clinical supervision by inputting the total hours for both indirect and direct counseling, adhering to the specified limits.
- Complete the supervision summary by describing the supervision activities conducted with the supervisee and noting their strengths and potential deficits. If necessary, attach additional pages for a thorough explanation.
- Rate the applicant on various characteristics compared to other counselors using the provided rating scale, placing a mark in the appropriate column for each characteristic.
- Decide on the recommendation status for unrestricted licensure, indicating whether you recommend or do not recommend the applicant, and providing any reasons if applicable.
- Verify the accuracy of the information completed in the report by signing and dating the verification section.
- After finishing the form, ensure it is enclosed in a sealed envelope, signed across the sealed flap, and then returned to the NC Board of Licensed Clinical Mental Health Counselors.
Complete the NC Final Supervision Report online today to move forward with your licensed clinical mental health counseling journey.
To become a LCSW in North Carolina, you must possess a master's degree in social work, complete at least 3,000 hours of post-graduate supervised experience, and pass the LCSW exam. Additionally, you will need to submit documentation, including your NC Final Supervision Report, to demonstrate your completed hours of supervision.
Industry-leading security and compliance
US Legal Forms protects your data by complying with industry-specific security standards.
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.