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PCCI Weekly Summary of Experience Hours Option 2. PCCI Weekly Summary of Experience Hours Option 2 - bbs ca

PCCI Weekly Summary of Experience Hours Option 2. PCCI Weekly Summary of Experience Hours Option 2 - bbs ca 2026

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The document is a weekly summary log for Professional Clinical Counselor Interns in California, detailing the hours worked in various therapeutic settings. It includes sections for recording individual and group therapy, telehealth counseling, training, and supervision hours. The log is intended for interns to track their experience as part of the licensure application process.

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Click ‘Get Form’ to open it in the editor.
Begin by entering your name in the designated fields for 'Last' and 'First'.
Fill in your supervisor's name and the name of your work setting, along with its address.
Indicate whether your work setting is a hospital or community mental health setting by selecting 'Yes' or 'No'.
Specify your status when logging hours by selecting 'Intern Application Pending' and enter the year.
Complete the BBS File number and Registered Intern PCI Number fields as required.
Log your hours under each category (A to H) provided, ensuring you total them accurately at the end.
Sign the form where indicated for supervisor signature and note any hours spent working with couples, families, or children.

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