Forms used in the clinical supervision of counselors and therapists in training for Washington State licensure.
 

Washington State Forms
for the Supervision of
Therapists and Counselors

Pre-license Reporting Forms for
Licensed Mental Health Counselors,
Licensed Independent Clinical Social Workers and
Licensed Marriage and Family Therapists

Forms Used by the Supervising Counselor
(and given to each counselor being supervised)

Approved Supervisor Licensed Mental Health Counselor (Form DOH 670-090, 1/2007)  Please review: WAC 246-809-234

Approved Supervisor Licensed Social Worker (Form DOH 670-091--2/2007)  Please review: WAC 246-809-334

Approved Supervisor Licensed Marriage and Family Therapist
Please review: WAC 246-809-134

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Forms Used by the Counselor to Report
Hours of Supervision to the State of Washington

" Verification of Mental Health Counselor Supervised Postgraduate Experience (one form for each supervisor)
 

Verification of Social Work Supervised Postgraduate Experience (This two-sided form is found on pages 13 & 14 of the " Licensed Social Worker Application Packet"
 

" Verification of Marriage and Family Therapy Supervision and Experience" (two-page form) is part of the " Application Instructions For Licensed Marriage and Family Therapist"
 

If any of these links are broken--don't be surprised.  Laws governing the credentialing of counselors are changing in 2007, and on the Washington State's website, URL addresses frequently are changed when the content is changed.  In that case (1.) please notify CounselingSeattle.com so we can update the links, and (2.) follow the directions below that were kindly furnished in May 2007, by Dawn Thompson, Program Representative, Health Professions Quality Assurance Washington State Department of Health:

"The Approved Supervisor forms are located with the forms and applications that pertain to the correlating licensures....You can download these forms by going to www.doh.wa.gov click on Topics A-Z and choose the first letter of the licensure you need. Once you have that licensure pulled up there will be a site directory on the left hand side.  Click on 'forms and applications', then click on approved supervisor form, down load and print...."

   

With the CounselingSeattle.com counselor locator service, counselors can be located by name, geographic area, or niche specialty.

The mental health and addictions counselors listed on these pages are:
(1.) Licensed Mental Health Counselors (LMHC),
(2.) Licensed Independent Clinical Social Workers (LICSW),
(3.) Licensed Marriage and Family Therapists (LMFT), or
(4.) Registered Counselors (RC).

If you have any knowledge that any of the information about persons advertising in CounselingSeattle.com is inaccurate or misleading, please notify us.

             

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