Forms

Click and download any form below.  Many of the forms listed below are part of the licensure applications. You do not need to download these forms separately if you are downloading a licensure application. If you do not see a form, contact the Board for assistance via Email .(JavaScript must be enabled to view this email address)

2012 Month-by-Month Calendar 2012 Month-by-Month Calendar
Alternative to Clinical Practicum Report Form Alternative to Clinical Practicum Report Form
Application ‘Short Form’ - Converting MFTA to LMFTA Application ‘Short Form’ - Converting MFTA to LMFTA
Application LMFTA to LMFT Application LMFTA to LMFT
Application LMFTA Application LMFTA
Application LMFT Reciprocal Application LMFT Reciprocal
Application LMFT Application LMFT
Application National MFT Exam Application National MFT Exam
Calendar 2011-2012 Calendar 2011-2012
Complaint Form Complaint Form
Establish a Corporation Establish a Corporation
Examination Requirement Examination Requirement
Exam Registration - Duplicate or Replacement packet Exam Registration - Duplicate or Replacement packet
License Reinstatement Application License Reinstatement Application
License Verification Form License Verification Form
Mailing List Order Form Mailing List Order Form
National MFT Examination Dates National MFT Examination Dates
Practicing MFT in North Carolina Practicing MFT in North Carolina
Renewal Instructions and Application Renewal Instructions and Application
Renewing Your License - What You Need To Know Renewing Your License - What You Need To Know
Score Transfer Form Score Transfer Form
Supervision Agreement Supervision Agreement
Supervision Process for Associates Supervision Process for Associates
Supervision Quarterly Report Supervision Quarterly Report
Supervision Report for Hours Prior to October 1, 2009 Supervision Report for Hours Prior to October 1, 2009
Supervision Tracking Form Supervision Tracking Form


Licensure Fees