670-090 MH Approved Supervisor form This form is used to verify a supervisor's experience and qualif 2026

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  1. Click ‘Get Form’ to open the 670-090 MH Approved Supervisor form in the editor.
  2. Begin by filling in your name as the supervisor in the designated field. Ensure that you include your licensed title and state of licensure.
  3. Next, provide your license number and confirm that it has been in good standing for at least two years, as required by WAC 246-809-234.
  4. In the section regarding training, list the minimum fifteen clock hours of training you have completed in clinical supervision. Specify if it was through a course, continuing education credits, or supervision of supervision.
  5. Indicate your twenty-five hours of experience supervising clinical practice. Be sure to detail your knowledge of the supervisee’s practice activities including practice setting and recordkeeping.
  6. Finally, sign and date the declaration at the bottom of the form to attest that you meet all requirements outlined in WAC 246-809-234.

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Supervision Hours Washington requires LMHCs to complete 3,000 hours of supervision in no less than 36 months. At least 1,200 of those hours must be in direct client contact, and a minimum of 100 hours should be under the immediate direction of an approved supervisor.
Clinical Supervision Training (WA) The program is designed to meet the 15 CE supervisor training requirement of Washington State through 10 weekly 1.5 hour small group meetings with course facilitators. Our CEs are approved by NBCC. The 15 training hours also count towards supervisor training for other states.
Applicants must have a masters or doctoral degree in mental health counseling or a behavioral science masters or doctoral degree in a field relating to mental health counseling. The department must receive an official transcript with degree and date posted from applicants program.

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People also ask

Counselor Education in Washington. Washington LMHC licensure openinnew requires the completion of a masters or doctoral degree in mental health counseling, behavioral science or a field relating to mental health counseling.
A WA State Approved Supervisor must: hold a license without restrictions that has been in good standing for at least two years. complete a minimum of 15-hours of training in clinical supervision. obtain 25-hours of experience in supervision of clinical practice.
I am an approved supervisor in Washington State. To become an approved supervisor, it is required to have an independent license in good standing for at least two years, have 25 supervised hours supervising others, and to have 15 continuing education unites in supervision.