Home/Clinical Mental Health Counseling/Additional Forms for Clinical Mental Health CounselingClinical Mental Health CounselingWelcomeExam InformationLicensingApply for a LicenseClinical Mental Health CounselorAssociate Clinical Mental Health CounselorAssociate Clinical Mental Health Counselor ExternRenew a LicenseAdditional FormsVerify a LicenseChange your Name/AddressLaws and RulesBoard InformationBoard MembersUpcoming Public MeetingsPast Public MeetingsRelated InformationWebsitesResourcesCriminal HistoryOverviewGuidelinesApplication for Criminal History DeterminationCriminal History Guidelines – Frequently Asked QuestionsInternationally-Trained Applicant InformationFrequently Asked QuestionsContact UsAdditional Forms Request for Verification of Licensure Overview of Qualifications for Licensure Educational Requirements Volunteer Health Care Practitioner Application for Inactive Licensure Extension Request Form Supervision Record of Post-Graduate Practice Hours Supervisor Verification