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Virginia lpc licensure 2026
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- Click ‘Get Form’ to open the Virginia LPC Licensure evaluation form in the editor.
- Begin by entering your name in the 'Name of Applicant' field, followed by your email address. Ensure accuracy as this information is crucial for communication.
- In the 'Supervisor’s Evaluation' section, your supervisor should fill in their name and license details. This includes their license number and type, which are essential for validation.
- Provide the business name and address of your residency work site where clinical hours were obtained. Make sure to specify only one location.
- Fill in the dates of supervision, including both start and end dates. Indicate hours per week worked and ensure all columns are completed accurately.
- Answer the questions regarding face-to-face client contact hours and supervision received. Be honest and thorough in your responses.
- Finally, have your supervisor sign and date the form at the bottom to validate it before submission.
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