FORMS Monday September 6, 2010 

Click and download any form below.  The licensure application may be downloaded from the Application section of this website. Many of the forms listed below  are part of the licensure application which is located under the Applications section of this website. You do not need to download these forms separately if you are downloading the licensure application.

To Reinstate your license, download the following.  Licensees with renewal due by July 1, 2010  who have not mailed(postmarked by 7/1/2010) their request, must apply for reinstatement by submitting the Reinstatement Application, Continuing Education Certificates and Fee of $200.

Questions: Email ncmftlb@nc.rr.com

 

Document Name PDF Document
Services Requests - Effective 2-1-10 Download
'Short' Form - Converting MFTA to LMFT Download
Renewal Packet 2010-2011 Download
Exam Registration - Duplicate or Replacement Packet Download
NC Statutes Amendments Effective 10-1-09 Download
Alternative to Clinical Practicum Report Form Download
NC MFT Statutes effective 10-1-09 Download
Supervision Agreement Download
Supervision Quarterly Report Form Download
Calendar Download
Score Transfer Form Download
Application - National MFT Exam Download
Application - LMFTA to LMFT Download
Application - LMFTA Download
Application - LMFT VIA Reciprocity Download
Application - LMFT Download
Practicing Marriage and Family Therapy in North Carolina Download
Mailing List Order Form Download
Supervision Process for MFTAs (Associates) Download
Supervision Quarterly Report Form Download
Supervision Tracking Form Download
Reinstatement Application Download
Complaint Form Download
Professional Corporation (PC) or Professional Limited Liability Company (PLLC) Download
NC Statutes Download
Administrative Rules for License Renewal Download
NC MFT - Administrative Rules Download

© North Carolina Marriage and Family Therapy Licensure Board
PO Box 37669
Raleigh, NC  27627
P: 919-772-6600
F: 919-772-6007
ncmftlb@nc.rr.com

Toll Free (NC Residents Only): 877-209-6600
Toll Fee (Out of State): 877-343-6600

Toll Free Fax: 877-209-6007