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FORMS
Mail application forms and fee to the Board's fiscal office:  Board of Counselors & Therapists, Unit 14, PO Box 4395, Portland, OR 97208-4395. 

Which Forms Do I Need?
 
It depends.
 
If you apply by the direct method, you will need
  • Form 1A Application
  • Form 2 Post-Degree Supervised Work Experience
  • Form 2a Degree Program Work Experience (for LPC only)
  • Form 3 Exam verification (if appropriate)
  • Form 5 Professional Disclosure Statement
  • Your college transcript mailed from your college to the Board Office
  • Form 6a Graduate program information**
  • Application fee of $125
 
 
If you are going to register as an intern, you will need:
  • Form 1B Application for Registered Intern
  • Form 2  Post-Degree Supervised Work Experience (if you have some post-graduate work experience hours that could count toward licensure)
  • Form 2a  Degree Program Work Experience (for LPC interns only)
  • Form 5 Professional Disclosure Statement
  • Form 6a Graduate program information** (filled out by your college)
  • Form 7 Plan for Supervised Work Experience
  • Your college transcript mailed from your college to the Board Office
  • Application fee of $125
 
 
If you apply by the reciprocity method, you will need
  • Form 1C Application for License by Reciprocity
  • Form 4 Verification of License from another state
  • Form 5 Professional Disclosure Statement
  • Your college transcript mailed from your college to the Board Office
  • Form 6a Graduate program information**
  • Application fee of $125
 
If you are unsure, please contact the Board office for guidance.
 
 
** Form 6a is not needed if you graduated from a university or college that was accredited (at the time you graduated) by CACREP, CORE, or COAMFTE, or was one of 10 Oregon Board-approved programs.
 

 
Page updated: November 03, 2009

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