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Clinical Experience Log
You must document that you have at least one year’s experience in providing cognitive therapy by indicating the date you first provided cognitive therapy to a client.

You must document that you have provided cognitive therapy to at least 10 clients who have completed treatment or in the process of being treated. List, for each client, the client’s initials, the setting in which treatment occurred (e.g., inpatient unit at X Hospital; outpatient clinic at Y University), the approximate dates treatment began and ended, Axis I and II diagnoses for DSM IV or the DSM V diagnoses, and the total number of sessions provided.


Your Information (Required)

First Name:
Last Name:
E-mail Address:
Phone Number: