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Counseling Psychology

Professional Mental Health Counseling-Specialization in Addictions Handbooks and Forms

Student Handbooks

Students in this program program should familiarize themselves with the program handbook and consult it whenever questions arise about departmental policies and procedures.

2017-2018 PMHC-A Program Handbook (PDF)

2016-2017 PMHC-A Program Handbook (PDF)

Students also will find the Graduate School of Education and Counseling Student Handbook to be a valuable resource regarding graduate school policies and resources for students. The graduate student handbook also contains general college policies.

General Forms

Consent for Educational Records To Be Released (When Requesting Recommendations)

Practicum and Internship Forms

Professional Mental Health Counseling—Specialization in Addictions practicum and Internship placements require students to maintain records on designated forms.  

Practicum / Internship Planning and Placement Approval

Clinical Review Form
Placement Plan Approval Request

Practicum Forms
Manual and Contract

PMHC and PMHC-A Practicum Manual 2016-2017
PMHC and PMHC-A Practicum Agreement—LC Counseling Center

PMHC and PMHC-A Practicum Agreement—Secondary/Community Site
PMHC and PMHC-A Agreement Amendment

Recordkeeping

PMHC-A Clinical Hours Summary Report
Daily/Weekly Hours Log

Evaluation

PMHC and PMHC-A Practicum Student and Intern Evaluation Form

Internship Forms
Manual and Contract

PMHC and PMHC-A Internship Manual 2016-2017
PMHC and PMHC-A Internship Agreement
PMHC and PMHC-A Agreement Amendment

Intern Videotaping Consent Form

Recordkeeping

PMHC-A Clinical Hours Summary Report
Daily/Weekly Hours Log

Evaluation

PMHC and PMHC-A Practicum Student and Intern Evaluation FormInternship Site Evaluation (by student)

Program Planning and Sequences

2017-2018 PMHC - Specialization in Addictions Program Planning Worksheet (PDF)

2017-2018 PMHC - Specialization in Addictions Course Sequence (PDF)

2017-2018 PMHC - Specialization in Addictions Part-Time Course Sequence (PDF)