Applications for Mental Health Practice
This resource page provides applications for licensure, required forms to be completed and submitted with applications, education or certification requirements for renewal of a license.
Initial License
| License Type | Application Requirement |
|---|---|
|
Candidate for Licensure: Supervision Agreement:
|
|
| Clinical Mental Health Counselor | |
| Clinical Social Worker | |
| Pastoral Psychotherapist | |
|
Marriage and Family Therapist |
|
| School Social Worker | |
| Social Work Associate | |
| Social Worker | |
Conditional Licenses:
Note: You must submit both the Universal Application for Initial License and the Candidate for Licensure: Supervision Agreement. You do not need to resubmit a Candidate for Licensure: Supervision Agreement if you already have an approved Agreement on file with the Board. |
|
Mail your completed application, required forms and payment to:
Office of Professional Licensure & Certification
7 Eagle Square
Concord, NH 03301
Forms of Payment Accepted for Paper Applications: Personal Check, Money Order or Cashier's Check
Renewal of License
Visit: Online Applications for Renewal (You can also use this link to check the status of your Application)
If you are unsure of any required credits for renewal, please contact OPLC Customer Support at CustomerSupport@oplc.nh.gov.
Mental Health Practitioners - To complete the health professions survey requirement for license renewal, please visit the Health Professions Survey page. Note: Inactive status licenses are exempt from the survey requirement.