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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.
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.
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.
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
Application for Reinstatement of a Registered Peer Recovery Specialist Registration
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.
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.