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The Regulations Governing the Registration of Qualified Mental Health Professionals will change effective May 7, 2025.
To review the amended regulations prior to their official posting, please visit the following link: View Amended Regulations
For a summary of the changes, please visit the following link: Summary of Changes
Please review the QMHP Online Application Handbook.
Click here to begin the QMHP-A Initial Application: This application type is for individuals who have completed the required education and supervised experience with adults with mental illness as defined in the Regulations.
Please review the QMHP Online Application Handbook
Click here to begin the QMHP-C Initial Application: This application type is for individuals who have completed the required education and supervised experience with children and adolescents with mental illness as defined in the Regulations.
Please review the QMHP Online Application Handbook
Click here to begin the QMHP-Trainee Initial Application: This application type is for individuals who wish to start accruing supervised experience towards QMHP-A and/or QMHP-C.
Please review the QMHP Online Application Handbook
Click here to begin the RPRS Initial Application: This application type is for individuals who hold a CPRS certificate from VCB, NCPRSS from NAADAC, current and valid Peer Recovery Specialist certification from another state that was accepted by DBHDS or certified by the Veterans Administration as a Peer Recovery Specialist and has completed the DBHDS Peer Recovery Specialist Training.
(The forms below are to supplement the online application and do not include the instructions. All forms and instructions can be printed during the online application process. To complete the online application process, you must complete the online application in its entirety, submit the online fee and view/print the instructions and required supplemental documentation. All forms, with the exception of your official transcript, can be uploaded during the online application process. Once you pay the application fee, you will no longer have the ability to upload your required documentation. Forms and information not uploaded during the online process should be emailed or mailed to the Board. Documents without the online application will not be reviewed or considered.)
QMHP-A Verification of Supervised Experience (Supplemental documentation for QMHP-A Application)
QMHP-C Verification of Supervised Experience (Supplemental documentation for QMHP-C Application)
Verification of Internship/Practicum for QMHP (Supplemental documentation for QMHP-A and QMHP-C Application)
Reinstatement Application - Qualified Mental Health Professional-Adult or Qualified Mental Health Professional-Child
Reinstatement Application Following Revocation or Suspension for QMHP-A or QMHP-C Registration
Application for Reinstatement of a Registered Peer Recovery Specialist Registration
Application for Reinstatement Following Revocation or Suspension of a Registered Peer Recovery Specialist Registration
LPC Licensure Process Handbook
Sample of a Resident in Counseling Supervisory Contract
Click here to begin the Resident in Counseling License Application: This application type is for individuals who have met the degree and coursework requirements outlined in the Regulations, have a qualified supervisor willing to supervise your experience and worksite where you can provide clinical counseling services.
Application for Reinstatement of Resident in Counseling License
Click here to begin the LPC by Examination Application: This counseling licensure application type is for individuals who have met the degree and coursework requirements, completed all residency requirements and have passed the NCMHCE or NCE examination as outlined in the Regulations. (If you hold an equivalent license, please apply by endorsement.)
Click here to begin the LPC by Endorsement Application: This counseling licensure application type is for individuals who hold or have held an equivalent professional counseling license for independent clinical practice in another U.S. jurisdiction.
Application Packet for Pre-Review of Education toward LPC Licensure
Reinstatement Application Packet for Licensed Professional Counselors (Not applicable for LPC temporary COVID licenses.)
Application Packet for Reinstatement of a Revoked or Suspended License
Verification of Required Coursework Form for LPC Licensure
Verification of Degree and Internship Form for LPC
Supervisor Out of State License Verification Form
Verification of Supervision Form for LPC Licensure
Quarterly Evaluation Form for LPC Licensure
Supervision Summary Form for LPC Licensure
Request for Termination of Supervision
LPC Residency Extension Request
Out of State License or Certification Verification Form
Verification of Post-Licensure Active Practice Form
Verification of Virginia License Form LPC LMFT LSATP
Doctoral Verification of Internship/Practicum for LPC
CSAC and CSAC-A Certification Process Handbook
CSAC Supervisee applications are now accepted through our online system. Click here to begin the CSAC Supervisee Initial or Add/Change Registration of Supervision Application.
Sample of a CSAC Supervisee Supervisory Contract
CSAC applications are now accepted through our online system. Click here to begin the CSAC application by Examination or Endorsement.
Reinstatement Application for Certified Substance Abuse Counselors
Reinstatement of Certificate Following Revocation or Suspension for Substance Abuse Counselor or Counseling Assistant
Verification of Clinical Supervision Form for CSAC Certification
Didactic Training Verification Form for CSAC Certification
Request for Termination of Supervision Form
Verification of Virginia Certification Form CRP CSAC CSAC-A
Out of State License or Certification Verification Form
Supervisor Out of State License or Certification Verification Form
CSAC Supervisee Supervised Experience Extension Request
CSAC and CSAC-A Certification Process Handbook
CSAC-A applications are now accepted through our online system. Click here to begin the CSAC-A application by Examination.
Reinstatement Application for Certified Substance Abuse Counselor Assistant
Reinstatement of Certificate Following Revocation or Suspension for Substance Abuse Counselor or Counseling Assistant
Verification of Experience Form for CSAC-A Certification
Didactic Training Verification Form for CSAC-A Certification
Verification of Virginia Certification Form CRP CSAC CSAC-A
Sample of a Resident in Substance Abuse Treatment Supervisory Contract
Click here to begin the Resident in Substance Abuse Treatment License Application: This application type is for individuals who have met the degree and coursework requirements outlined in the Regulations, have a qualified supervisor willing to supervise your experience and worksite where you can provide substance abuse treatment services.
Application for Reinstatement of Resident in Substance Abuse Treatment License
Click here to begin the LSATP by Examination Application: This substance abuse treatment practitioner licensure application type is for individuals who are have met the degree and coursework requirements, completed all residency requirements and have pass the MAC examination as outlined in the Regulations.
Click here to begin the LSATP by Endorsement Application: This substance abuse treatment practitioner licensure application type is for individuals who hold an equivalent license in another state, or otherwise meet the requirements for endorsement as outlined in Regulations 18VAC115-60-50.
Application Packet for Pre-Review of Education toward LSATP Licensure
Reinstatement Application Packet for Licensed Substance Abuse Treatment Practitioners
Application Packet for Reinstatement of a Revoked or Suspended License
Quarterly Evaluation Form for LSATP Licensure
Supervision Summary Form for LSATP Licensure
Verification of Supervision Form for LSATP Licensure
Verification of Required Coursework for LSATP Licensure
Verification of Degree and Internship
Supervisor Out of State License or Certification Verification Form
Out of State License or Certification Verification Form
Request for Termination of Supervision Form LSATP
Verification of Virginia License Form LPC LMFT LSATP
Verification of Post-Licensure Active Practice Form
Request for Inactive Status of Current Active License
Request for Active Status of Current Inactive License
LSATP Residency Extension Request
Supervisor Approval Application for LPC, LMFT and LSATP
Supervisor Approval Application for CSAC and CSAC-A
Application for Certification as a Rehabilitation Provider
Endorsement Application for Certification as a Rehabilitation Provider
Verification of Experience for Rehabilitation Provider Certification
Supervisor Out of State License or Certification Verification Form
Out of State License or Certification Verification Form
Verification of Virginia Certification Form CRP CSAC CSAC-A
Rehabilitation Provider Application for Reinstatement of a Lapsed Certificate
Application for Reinstatement following Suspension or Revocation
LMFT Licensure Process Handbook
Sample of a Resident in Marriage and Family Therapy Supervisory Contract
Click here to begin the Resident in Marriage and Family Therapy License Application: This application type is for individuals who have met the degree and coursework requirements outlined in the Regulations, have a qualified supervisor willing to supervise your experience and worksite where you can provide marriage and family therapy services.
Application for Reinstatement of Resident in Marriage and Family Therapy License
Click here to begin the LMFT by Examination Application: This marriage and family therapy licensure application type is for individuals who are have met the degree and coursework requirements, completed all residency requirements and have pass the National MFT examination as outlined in the Regulations. (If you hold an equivalent license, please apply by endorsement.)
Click here to begin the LMFT by Endorsement Application: This marriage and family therapy licensure application type is for individuals who hold or have held an equivalent marriage and family therapy license for independent clinical practice in another U.S. jurisdiction.
Application Packet for Pre-Review of Education toward LMFT Licensure
Reinstatement Application Packet for Licensed Marriage and Family Therapist (Not applicable for LMFT temporary COVID licenses.)
Application Packet for Reinstatement of a Revoked or Suspended License
Verification of Supervision Form for LMFT Licensure
Quarterly Evaluation Form for LMFT Licensure
Verification of Clinical Practice for 24 of the Last 60 Months for LMFT Licensure
Supervision Summary Form for LMFT Licensure
Verification of Coursework for LMFT Licensure
Verification of Degree and Internship form for LMFT Licensure
Supervisor Out of State License or Certification Verification Form
Out of State License or Certification Verification Form
Request for Termination of Supervision Form
Request for LMFT Residency Extension
Verification of Virginia License Form LPC LMFT LSATP
Doctoral Verification of Internship/Practicum for LMFT Licensure
Request for Inactive Status of Current Active License
Request for Active Status of Current Inactive License
Continuing Education Summary Form
Formal Staffing Attendance Form
Form for Reporting Counseling Independent Study
CE and Education Approval Request
Out-of-state temporary practitioner reporting form
Virginia Board of Counseling
Email: Coun@dhp.virginia.gov
Jaime Hoyle, Executive Director
Terry R. Tinsley, PhD, LPC, LMFT, CSOTP, Chairperson