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If you currently have an LPC supervisor and want to switch
and work with me, I will submit the Intern Supervisor/Site
Change Request Form to the board office for approval before
we begin supervision.
Also, if you change sites at any time, this form will need to be
submitted again.
Without an approved supervision form on file with the board,
supervised hours may not be counted toward licensure.
The form can be found here.

The Original!
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