Bi-Monthly Clinician Timesheet

1
Name* This field is required.
First Name
Last Name
2
Today's Date* This field is required.
Date
Year
Month
Day
3
Please select your credentials below* This field is required.
PLPC
LPC
4
Timesheet Template Links:

Links to the LPC and PLPC timesheet templates are included below and will also be available in each monthly timesheet.

For ease of use, you may want to bookmark or save your template and use the same one throughout the pay period, rather than waiting until payday to complete it all at once.

PLPC Timesheet

LPC Timesheet

You will be asked to upload your completed timesheet on the next page.
5
Please upload timesheet below* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
6
Please enter the total amount you owed for services* This field is required.
Should be Empty: