NC Board of Marriage and Family Therapy

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Forms

Email or Fax all forms except annual license renewal. The license renewal form is an online form, no ‘paper’ submissions of renewals.

EMAIL: [email protected]

FAX: 919-336-5156

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  • General Directions for All Forms
  • Directions for Specific Sections
  • Directions to Pay Form Fees
  • Submit Form and Pay Forms Fees Here
  • Links to Forms

General Directions for Forms

  1. Email or Fax all forms except annual license renewal.
  2. The license renewal form is an online form, no ‘paper’ submissions of renewals.
  3. Forms that are mailed (i.e. USPS, FedEx, UPS) as hard copies will not be accepted.
  4. Email Submission: Scan the completed form, payment receipt, and any additional required items as one PDF. Please do not send multiple pages, as this will take longer for your submission to be renewed.
  5. Forms requiring payment, o to the section on this page Submit and Pay Form Fees Here. Select the appropriate form from the drop-down options and then attach the required documents. Choosing the appropriate category ensures proper processing and the correct fee (if any) associated with the form. Click submit and then you will be taken to the PayPal page to complete the transaction.
  6. Though typed PDF forms are preferred you may print and complete the forms by hand using black ink only. Illegible forms may result in delayed processing.
  7. Refer to the Calendar for submission deadlines, processing times and notifications, if applicable. For general requests, please allow 10 business days.

Directions for Specific Sections

  1. Transcripts: Must be sent directly from the issuing institution (i.e. the university office or their designated transcript processing company) to the Board.
    • Have the university send transcripts to: [email protected] and the subject line “Transcripts.”
    • Name Changes: If the name on your transcript is different than the name on your application, documentation such as a copy of your marriage license, divorce decree, or court order, must be submitted with your application(s) for the National MFT Exam or any licensure application.
  2. Endorsements: Should be emailed directly to the Board by the endorser from their email address.
    • Have the endorser email it to: [email protected] and the subject line “Endorsement for INSERT YOUR NAME HERE.”
    • Be sure they put your name as it is listed on your application, or it can not be accepted.
  3. Supervision Reports: All supervision reporting forms must be sent directly from the supervisor’s email address.
    • Have the supervisor sent the completed and signed report to: [email protected] with your name and the name of the form as the subject line. For instance, a supervision report being submitted with a license application would have, “Jane Smith LMFTA Application Supervision Report” in the subject line, and a quarterly supervision report would have, “John Doe Quarterly Supervision Report” as the subject line.
    • Be sure all hours are submitted on the form, as applicants and licensees are unable to amend and add any additional clinical and/or supervision hours once the form has been submitted.
    • Be sure your name is listed as it appears on your application/license, or it can not be accepted.
  4. Notarized Forms and Photos: Due to the current pandemic, circumstances warrant an alternative to provide proof of identity. Make a clear copy of your current driver’s license or other state issued identification, along with a current photo from a passport or other professional photo. Include this proof on a separate form behind your completed license application PDF.

Directions to Pay Form Fees

If your form requires payment, you will need to submit payment through PayPal. You do not have to have PayPal to submit a payment. You can use a debit or credit card, or your bank account information. Payments using bank account numbers will take longer to process, per bank/PayPal policies.

To make your payment, enter in your name, email address, the name of the form you are about to upload and submit later on the contact page, and then choose the amount from the drop-down menu. You will be taken to the PayPal page, where you will see the amount to pay in the upper right-hand corner. You may log-in to your PayPal account, or if you do not have a PayPal account (or you would like to pay with a debit/credit card), click on the gray box (as shown below in the image).

If you do not have a PayPal account, or if you want to pay by debit/credit card, choose this option.

Links to Forms

Form Link TypeSpecific DirectionsPayPal Amount
Ethical ComplaintsPDF FormEmail or Faxn/a
License RenewalOnline FormOnline completion and submission only$100 (+$25 for PC/PLLC)
Application: National MFT ExamPDF FormEmail or Fax$50
Application for Licensure: InstructionsPDF Formn/an/a
Application for Licensure: All TypesPDF FormEmail or Fax$200
Application: LMFTA to LMFT Conversation (Current NC LMFTA only)Request current application form, effective 1/1/21 – An invoice will be generated for payment of the application fee. Do not pay via this website. Email [email protected] – subject line – Conversion Application Request$200
Supervision Report: Quarterly (Current NC LMFTAs only)PDF FormEmail or Faxn/a
Supervision Agreement: Adding or Changing AAMFT Approved SupervisorPDF FormEmail or Faxn/a
Incorporation Application: PC or PLLCPDF FormEmail or Fax$50
Inactive License Request (Current NC Licensees only)PDF FormEmail or Fax$50
Verification to Other States (NC Licensees Only)PDF FormEmail or Fax$25
Name Change RequestPDF FormEmail or Faxn/a
Mailing List RequestPDF FormEmail or Fax$50 or $100
Extension Request (NC LMFTAs only)PDF FormEmail or Fax$50

Submit and Pay Form Fees Here

Interim Form Payment Option

  • USER ERROR. NOT ABLE TO SUBMIT.

    The license renewal form is ready to use. Use the online form to complete, pay, and submit online. You are unable to submit on this page.

  • ERROR. NOT ABLE TO SUBMIT.

    The ethics complaint form is ready to use. Use the online form to complete, pay, and submit online. You are unable to submit on this page.

  • National MFT Exam applicants can submit unofficial transcripts from their institution. Unofficial transcripts are given directly to the graduate from their school. The transcript MUST show that the degree has been conferred to the applicant, as indicated by the graduation date, the name of the degree, and the program of study. If the unofficial transcripts were attached and submitted as part of the exam application, leave this field blank. Submitting unofficial transcripts when applying for the National MFT Exam expediates the ability of the Board office to process and approve exam applications. An official transcript from the university to the Board MUST be submitted at the time of license application to comply with Board policies.
  • Drop files here or
  • Military & Military Spouse Applications

  • Drop files here or
  • If you or your spouse is currently active duty in the military, you do not need to pay a license application fee. The fee amount will show $0. Please upload proof of active duty status for you or your spouse. You will complete and submit the required license application information. Should the Board need additional information from you, you will be contacted using the email address listed on this form.
  • License Applications

  • Drop files here or
  • Syllabus

    To help expediate the review process, the Board asks that syllabi for the core courses listed on the license application to be uploaded and shared with the applications. If you do not have access to the syllabus, please contact your school. As part of their accreditation process, they are required to show syllabi for their courses, and to maintain them on file.
  • Drop files here or
  • Drop files here or
  • Drop files here or
  • Drop files here or
  • Drop files here or
  • Drop files here or
  • Drop files here or
  • Price: $25.00
  • Price: $50.00
  • Price: $100.00
  • Price: $200.00
  • The license application fee will show up as $0.00 below if you skipped the military status question.
  • $0.00
  • This field is for validation purposes and should be left unchanged.

Thank you for your patience and continued support during this difficult time.

Helpful Links

Calendar

Download the 2020 Calendar with deadlines for exam applications, license application materials, dates the Board meets, and more.

 

Code of Ethics

Review the latest edition of the Code of Ethics from the American Association of Marriage & Family Therapy. All licensees in North Carolina must abide by this code, even if they are not members of AAMFT.

 

Licensure Laws in North Carolina

The duty of the North Carolina Marriage & Family Therapy Licensure Board is to carry out these NC General Statutes.

 

Administrative Code in North Carolina

The Administrative Code supplements the General Statutes for the North Carolina Marriage & Family Therapy Licensure Board. It outlines continuning education requirements, fees, and more.

 

Definitions

Learn the definitions of terms frequently used in graduate school, during the licensure process, and in the laws governing the profession.

 

North Carolina Association of Marriage & Family Therapy

NCAMFT is the professional organization for marriage and family therapists in North Carolina. Their job is to promote and advance the profession across the state.

 

American Association for Marriage & Family Therapy

AAMFT is the national association for the profession, and is the parent organization for NCAMFT. They work to advocate for the profession across the nation, and provide journals, magazines, conferences, and more to keep professionals up-to-date.

 

Association of Marital & Family Therapy Regulatory Boards

The AMFTRB sponsors collaboration amongst the boards and groups who carry out licensure statutes, along with developing compatible standards.

 

Professional Testing Corporation

The PTC is in charge of administering the licensure exam for the profession in most states.

Contact

Please Note: Due to the current health pandemic, the Board has asked that effective March 25, 2020, that all forms and application submissions be submitted strictly online in an effort to reduce potential exposure for all parties.

The Board prefers email correspondance in order to serve you faster. This will also allow us to focus our efforts on contining to finalize the website, so you can have more answers and information available here.

We appreciate your patience.

Mail: NC MFT Licensure Board
1135 Kildaire Farm Road, Suite 200
Cary, NC 27511

Click here to contact the Board.

Forms Directory

Email or Fax all forms except annual license renewal. The license renewal form is an online form, no 'paper' submissions of renewals. EMAIL: [email protected] FAX: 919-336-5156 . General Directions for All FormsDirections for Specific SectionsDirections to Pay Form FeesSubmit Form and Pay Forms Fees HereLinks to … Access Forms...

Disclaimer

This website is considered a primary source for North Carolina Marriage and Family Therapy Licensure Board (NCMFTLB) data. All information provided by the NCMFTLB on this website is made available as a service to the public. While every attempt is made to ensure that the information contained herein is both accurate and … Read More...

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