Your browser does not support javascript

Supervisor Information

Supervisor Registry

Click here to view the Approved Supervisor Registry

Supervisory Contract

Sample of a Resident in Counseling Supervisory Contract

Sample of a Resident in Marriage and Family Therapy Supervisory Contract

Sample of a Resident in Substance Abuse Treatment Supervisory Contract

Supervisor Approval Applications

Supervisor Approval Application for LPC, LMFT and LSATP

Supervisor Approval Application for CSAC and CSAC-A

Supervised Residency Forms 

Licensed Professional Counselor (LPC)

Verification of Supervision Form for LPC Licensure

Quarterly Evaluation Form for LPC Licensure

Request for Termination of Supervision Form

Licensed Marriage and Family Therapist (LMFT)

Verification of Supervision Form for LMFT Licensure

Quarterly Evaluation Form for LMFT Licensure

Request for Termination of Supervision Form

Licensed Substance Abuse Treatement Practitioner (LSATP)

Verification of Supervision Form for LSATP Licensure

Quarterly Evaluation Form for LSATP Licensure

Request for Termination of Supervision Form

Certified Substance Abuse Counselor (CSAC)

Verification of Clinical Supervision Form for CSAC Certification

Request for Termination of Supervision Form

2018 Supervisor Summit Training

Board of Counseling 2018 Supervisor Summit Training Document

Virginia Board of Counseling
Email: Coun@dhp.virginia.gov
Jaime Hoyle, Executive Director
Gerard Lawson, Ph.D., LPC, LSATP, Chairperson