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.

2023-2024 PMHC and PMHC-A Program Handbook (PDF)

2022-2023 PMHC and PMHC-A Program Handbook (PDF)

2020-2021 PMHC and 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

Practicum Forms

PMHC and PMHC-A Practicum Manual 2023-2024

Recordkeeping

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

Evaluation

PMHC and PMHC-A Practicum Student and Intern Evaluation Form

Internship Forms

PMHC and PMHC-A Internship Manual 2023-2024

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 Form 
Internship Site Evaluation (by student)

Program Planning and Sequences

2024-2025 PMHC - Specialization in Addictions Program Planning Worksheet (PDF)

2024-2025 PMHC - Specialization in Addictions Course Sequence for 9 Semester Program (PDF)

2024-2025 PMHC - Specialization in Addictions Course Sequence for 11 Semester Program (PDF)