LPC- #F75-10963 Supervised Experience Documentation Form 2026

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  1. Click ‘Get Form’ to open the LPC- #F75-10963 Supervised Experience Documentation Form in our editor.
  2. Begin by filling in your personal information in the 'Intern' section, including your name, Social Security number, and Intern License number. Ensure accuracy as this information is crucial for processing.
  3. Answer the questions regarding your legal history honestly. If you answer 'Yes' to any question, prepare to attach a detailed explanatory statement and certified court documents.
  4. In Section A, have your supervisor complete their details, including their name, LPC-S License number, and contact information. This section must be filled out by a board-approved supervisor only.
  5. Proceed to Section B where your supervisor will document the total hours of direct and indirect counseling. Ensure that they confirm the required supervision hours were met.
  6. Finally, review all sections for completeness and accuracy before signing at the bottom of the form. Your signature affirms that all provided information is true.

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To become an LPC Supervisor in Texas in 2025, you must hold your LPC license for at least 5 years, complete a 40-hour supervisor training (Learn exactly how many hours of training are required here), and apply to the Texas Behavioral Health Executive Council (BHEC) with proof of CE hours, application, and fee.
The Fastest Pathway to Become a Licensed Counselor The fastest way to become a counselor is to earn a masters degree, complete supervised experience requirements, and pass a national licensing exam.
In Texas, LPC associates seeking to transition into supervisory roles must obtain the LPC-S (Licensed Professional Counselor-Supervisor) credential. They may need to be certified in additional roles, such as Trauma Model Therapy.

People also ask

In Texas, a Licensed Professional Counselor (LPC) may practice independently. To practice in Texas, all applicants must meet the eligibility requirements outlined in the Texas Occupations Code, Chapter 503. This includes specific academic qualifications and at least 3,000 hours of supervised experience.
TEXAS LICENSE PROFESSIONAL COUNSELOR (LPC) Please note, the degree program in Counseling requires 700 hours of practicum and internship (combined) and Texas LPC only requires 300 hours. The additional 400 hours may not be applied to the 3000-hour post-degree internship requirement for the LPC, according to board rules.
Provide a minimum of 4 hours of supervision each month. These hours can be divided as needed to best support the supervisor and Associate. Note that LPC Associates may have no more than two LPC Supervisors on file at one time, and supervision hours can be split between them based on mutual agreement.
(a) A supervisor must keep a written record of each supervisory session in the file for the LPC Associate. (F) a record of any concerns the supervisor discussed with the LPC Associate, including a written remediation plan as prescribed in subsection (e) of this section.

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