Forms

Click and download any form below. Note:  Most forms, you can type directly in the highlighted areas. Many of the forms listed below are part of the license application.  You do not need to download these forms separately if you are downloading the license application. If you do not see a form, contact the Board for assistance via Email .(JavaScript must be enabled to view this email address)

Applications and Licensing

• Administrative Rules for Continuing Education
• Application - NC MFT License
• Application National MFT Examination
• Inactive License Form
• LMFTA to LMFT
• PC or PLLC Application
• Renewal Packet 2013
• Score Transfer Form
• Verification of NC License to Other States

Incorporation

• Incorporation - PC or PLLC

Renewals

• Print RENEWAL - How to

Supervision

• Alternative to Clinical Practicum
• Continuing Education Reporting
• Supervision (Post-Degree)
• Supervision (Pre-Degree)
• Supervision Agreement
• Supervision Process for Associates
• Supervision Quarterly Report
• Supervision Tracking Form

Other

• Address Change Form
• Administrative Rules for Continuing Education
• Complaint Form
• Mailing List Order Form
• Name Change Form