Mental Health Counselor Form 5CS - New York State ...

The University of the State of New York The State Education Department Office of the Professions Division of Professional Licensing Services Mental Health Counselor form 5CS Certification of Supervisor for Limited PermitUse this form ONLY if you are applying/have applied for a New York State Limited Permit as a Mental Health Counselor Section I. Give your supervisor a copy of Appendix A and have them complete Section II. It is your responsibility to ensure your supervisor fully completes Section II. Failure to complete this form will delay its review.

licensed clinical social worker, or registered professional nurse or nurse practitioner and competent in Mental Health Counseling in New York State. An application in another jurisdiction must have the equivalent qualifications as determined by the Department.

Tags:

  Health, Social, Form, Clinical, Counselor, Worker, Mental, Licensed, Licensed clinical social worker, Mental health counselor form

Information

Related search queries