Skip to Content
Agencies | Governor
Search Virginia.Gov

Virginia Board of Counseling
Applications and Instructions

 

The links below are in Microsoft Word format. If you do not have Microsoft Word, you can get the Microsoft® Word Viewer 97/2000 to view and print DHP's documents.

Certified Substance Abuse Counselors

Application packet for Certified Substance Abuse Counselors

Reinstatement Application for Certified Substance Abuse Counselors

Substance Abuse Counselor or Counseling Assistant Application for Reinstatement of Certificate Following Revocation or Suspension

 

Certified Substance Abuse Counselor Assistants

Application packet for Certified Substance Abuse Counselor Assistant - 8-21-2009

Reinstatement Application for Certified Substance Abuse Counselor Assistant

Substance Abuse Counselor or Counseling Assistant Application for Reinstatement of Certificate Following Revocation or Suspension

 

Licensed Professional Counselors

Application package for Licensed Professional Counselors - 11-26-2012

Verification of Clinical Duties

Reinstatement Application for Licensed Professional Counselors

Application for Reinstatement of a Revoked, Suspended or Surrendered License


Licensed Substance Abuse Treatment Practitioners

Application Packet for Licensed Substance Abuse Treatment Practitioners - 1-24-2011

Reinstatement Application for Licensed Substance Abuse Treatement Practitioners - 7-14-2011

 

Certified Rehabilitation Providers

General Information for Certification as a Rehabilitation Provider

Memo regarding Applications

Frequently Asked Questions

Application for Certification as a Rehabilitation Provider

Verification of Experience for Rehabilitation Provider Certification

Verification of Licensure/Certification

Licensure/Certification Verification of Out-of-State Supervisor

Rehabilitation Provider Application for Reinstatement of a Lapsed Certificate

 

Marriage and Family Therapists

Application Packet for Marriage and Family Therapist - 12-19-2012

Reinstatement Application for Marriage and Family Therapists

 

Continuing Education Forms

Continuing Education Summary Form - LPC

Continuing Education Summary Form - LMFT

Continuing Education Summary Form - LSATP

Formal Staffing Attendance Form

Form for Reporting Counseling Independent Study

 

Compliance Forms & Information

Compliance FAQs

Self Report Form

Licensed Professional Counselor

Performance Evaluation Form

Supervisor Report Form – Behavioral Sciences

Chaperone Report Form

Miscellaneous Forms

Chaperone Fact Sheet

Drug Log for Prescribers (.xls)

Employer Notified of Board Order

Initial Contact Form

Prescriber Report to Board of Drugs or Prescription Given to Licensee

Recovery Support Group Attendance Log

Approval Forms

Chaperone Approval Request Form

Evaluator Approval Request

Supervisor Approval Request – Behavioral Sciences

Therapist Approval Request