These forms are for marriage and family therapy licensure only. Many of these forms may now be submitted via email to info@swmft.ms.gov .
LMFTA Application for Licensure
LMFT Application for Licensure
Request for Fingerprint Card - ALL LMFT and LMFTA Applicants must complete this form.
Verification of Post-Degree Experience in MFT
Universal Recognition Affidavit
Contract for LMFT Supervision Application
MFT Supervisee Evaluation Form
MFT Supervisee Evaluation & Termination of Supervision Form
MFT Continuing Education Report
Supervisor's Approval Application
Request for Reconsideration of Board Action Form
Supervised Self-Directed Learning Group Approval
CE Sponsor Application for Approval/Renewal
Approved Sponsor Application for Individual Program
Application for Individual Program for Non-Approved CE Providers