Forms

Background Check Information

• New Background Check Procedures
• In State Applicant Information
• Out of State Applicant Information
• Privacy Authorization Statement
• Required signature form for Criminal Records Review

Sample Statement and Declaration of Practices and Procedures

• PLMFT Statement of Practices and Procedures
• LMFT Statement of Practices and Procedures
• PLPC Declaration of Practices and Procedures
• LPC Declaration of Practices and Procedures
• LPC-S Declaration of Practices and Procedures
• Teletherapy Addendum 

Licensee Forms (Supervision forms must be completed on the online dashboard)

• Complaint Form
• PLMFT Documentation of Experience Form
• PLPC Documentation of Experience Form
• LMFT Documentation of Supervision of Supervision Form
• Endorsement Applicant License Verification Form

Supervision

• Verification of AAMFT Supervisor Status
• MFT Supervisor Handbook