Clinical Hours Log
$4.99$9.99
Clinical Hours Log for Licensure — Fillable PDF (LPC & LSW)
The signatures your board will ask for — collected all along the way.
Here's what no one tells you at the start of supervised experience: the hours are the easy part. It's the verification that delays applications — supervisors who've changed jobs, months you can't reconstruct, logs your board won't accept.
This fillable PDF log solves that from day one.
What's inside:
Monthly hour log pages with columns for direct client contact, indirect hours, and individual and group supervision — plus a supervisor verification block you complete while the month is still fresh
Quarterly summary page with supervisee and supervisor attestation blocks, ready for your records
Supervisee information page to document your track, permit number, sites, and supervisors in one place
Built-in prompts for the questions to confirm with your board before you start logging — what counts as direct contact, supervision caps, and formatting rules
How it works: Type directly into the fields on any device or print and complete by hand. Duplicate the monthly page for each month of your experience, total it in supervision, and get the signature on the spot. By the time you apply, your documentation is already done.
Works for LPC, LSW/LCSW, and other pre-licensed tracks in any state.
Created by an LPC and Approved Clinical Supervisor who has signed these logs from both sides of the desk.
Instant digital download. Organizational tool — always verify current requirements with your state licensing board.