Requirements to be a Designated Qualified Clinical Supervisor (DQCS)in the Mental Health Professions:
  • Licensed for independent practice for a minimum of two years prior to becoming a supervisor. (To meet the two years, your independent license can be from another state.)
  • Have 4 years of post-graduate professional experience in your discipline prior to providing supervision.
  • Not have any disciplinary action from the Board. (Exceptions can be granted from this requirement by the Board.)
Responsibilities as a DQCS:
  • Verify your supervisee is performing within their training and experience and within the rules of the Wyoming Mental Health Professions Licensing Board.
  • Keep records. This includes hours of clinical experience, direct client hours and your supervision hours with supervisee which follow the rules. (Agreements must be approved by the Board, please keep a copy of the approved agreement that is emailed to you after approval.)
  • Report hours and evaluation of supervisees work with you by using a Verification and Evaluation of Supervised Experience Form. Please submit form as soon as possible after supervision has been completed.
  • Follow all other requirements on the supervision agreement and rules.

Supervision Forms

Please note: the supervision agreement has been changed so there is only one form for both Certificate Holders and Provisional Licensees.

The Wyoming Mental Health Professions Licensing Board is staffed through the Professional Licensing Boards Office, a division of A&I.