Georgia Marriage & Family Therapy — Requirements & Free Practice
US-GA · License preparation
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Licenses, application pathways and examination requirements
Each license and applicant pathway has its own requirements and exemptions. Choosing practice questions does not determine your eligibility.
Associate Marriage and Family Therapist
Associate license for supervised marriage and family therapy practice.
Licensing authority: Georgia Composite Board of Professional Counselors, Social Workers and Marriage and Family Therapists · Application information
Licensure by examination
- Board Approval
- Apply and obtain Board approval before sitting for the examination.
- Contract
- Obtain Board approval of a post-graduate experience and supervision contract before counting associate experience.
- Education
- A qualifying master's degree and Board required marriage and family therapy coursework.
- Practicum
- One year of marriage and family therapy practicum with at least 500 direct clinical hours and 100 supervision hours under Rule 135-5-.05(2)(b).
Licensure with prior passing examination score
- Contract
- Board approved post-graduate experience and supervision contract.
- Education
- Qualifying master's degree and required coursework.
- Practicum
- One year of practicum including direct clinical experience and supervision.
- Prior Score
- The applicant has already passed the Examination in Marital and Family Therapy and directs the testing authority to send the score to the Board.
Associate license reinstatement more than five years after expiration
- Associate Limit
- Associate licenses may be reinstated only once and remain within the statutory five-year associate practice limit.
- Continuing Education
- Provide 35 recent continuing education hours.
- Exam Exception
- Retake requirement can be waived for continuous equivalent out-of-state licensure and practice.
- Prior License
- Previously held an associate MFT license expired more than five years ago.
Reinstatement within five years of expiration
- Associate Limit
- An associate license may be reinstated only once.
- Continuing Education
- Document 35 hours for each missed renewal cycle, with at least 35 hours completed within two years of the application.
- Fee
- Pay the late renewal penalty fee.
- Prior License
- Previously held this license; the Board has discretion to reinstate it.
Official no-examination sources
Effective from 2026-09-29.
- Georgia Composite Board Rules, Department 135
Rule 135-6-.04(1) amft
Biennial license renewal
- Continuing Education
- Provide proof of continuing education required by Rule 135-9-.01.
- Current License
- Renew by September 30 of an even-numbered year; late renewal is available through October 31 with a penalty.
Official no-examination sources
Effective from 2026-09-29.
- Georgia Composite Board Rules, Department 135
Rule 135-6-.03(3) amft
Marriage and Family Therapist
Professional marriage and family therapist license.
Licensing authority: Georgia Composite Board of Professional Counselors, Social Workers and Marriage and Family Therapists · Application information
Licensure from active associate MFT license
- Associate License
- Hold a current Georgia Associate Marriage and Family Therapist license and its prior passing examination.
- Experience
- Two years of post-master's practice under direction and supervision, including at least 2,000 direct clinical hours.
- Retake Waiver
- The Board does not require the associate licensee to retake the examination.
- Supervision
- 100 hours of concurrent qualifying supervision.
Doctoral degree licensure by examination
- Board Approval
- Board approval before registering for the examination.
- Education
- Qualifying doctoral degree and required marriage and family therapy coursework under Rule 135-5-.06(2)(c)(i).
- Experience
- Two years of qualifying experience including at least 1,500 direct clinical hours, with at least one year and 1,000 hours post-degree.
- Supervision
- 100 hours of concurrent qualifying supervision.
Doctoral degree licensure with prior passing score
- Education
- Qualifying doctoral degree and coursework under Rule 135-5-.06(2)(c)(i).
- Experience
- Two years of qualifying experience including 1,500 direct clinical hours.
- Prior Score
- The applicant has already passed the Examination in Marital and Family Therapy and sends the score through the testing authority.
- Supervision
- 100 hours of concurrent qualifying supervision.
Licensure by endorsement
- Board Score Request
- The Georgia Secretary of State How to Guide, Endorsement, lists 'National Exam Passing Score Report' among application documents; O.C.G.A. § 43-10A-10 and Rule 135-3-.04 permit licensure without examination.
- Out Of State License
- Hold a current MFT license from another jurisdiction in good standing; the jurisdiction's requirements must be substantially equal to or greater than Georgia's.
Official no-examination sources
Effective from 2026-09-29.
- Georgia HB 972 (2022), enacted restatement of O.C.G.A. Title 43 Chapter 10A
O.C.G.A. § 43-10A-10, HB 972 lines 433-436
- Georgia Composite Board Rules, Department 135
Rule 135-3-.04(1)
Expedited licensure by endorsement
- Application
- Submit the application, fees, and documents necessary to verify the statutory conditions.
- Out Of State License
- Hold a current, valid, unrestricted MFT license from another United States jurisdiction in good standing.
- Screening
- No pending licensing investigation or disciplinary proceeding, no disqualifying criminal record, and verified lawful presence in the United States.
Official no-examination sources
Effective from 2026-09-29.
- Georgia SB 373 (2024), enacted amendment to O.C.G.A. § 43-10A-13
O.C.G.A. § 43-10A-13(d)(1)-(2), SB 373 lines 52-68
- Georgia SB 373 (2024), enacted amendment to O.C.G.A. § 43-10A-13
O.C.G.A. § 43-10A-13(d)(2), SB 373 lines 64-68
Convert active license to inactive status
- Application
- Submit a signed, notarized Request for Inactive Status and the license pocket card.
- Current License
- Hold an active license and cease Georgia practice and use of the MFT title.
Official no-examination sources
Effective from 2026-09-29.
- Georgia Composite Board Rules, Department 135
Rule 135-6-.06(2)-(4)
Master's degree licensure by examination
- Board Approval
- Board approval of the application before registering for the examination.
- Education
- Qualifying master's degree and required marriage and family therapy, family studies, ethics, and diagnosis coursework under Rule 135-5-.06(2)(b)1.
- Experience
- Three years of full-time post-master's experience or equivalent, including at least 2,500 direct clinical hours; at least two years and 2,000 hours in marriage and family therapy.
- Supervision
- 200 hours of qualifying supervision concurrent with experience.
Master's degree licensure with prior passing score
- Education
- Qualifying master's degree and coursework under Rule 135-5-.06(2)(b)1.
- Experience
- Three years of qualifying experience with at least 2,500 direct clinical hours, including two years and 2,000 hours in marriage and family therapy.
- Prior Score
- The applicant has already passed the Examination in Marital and Family Therapy and directs the testing authority to report the score.
- Supervision
- 200 hours of concurrent qualifying supervision.
Reactivate inactive license within five years
- Application
- Submit reactivation application and fee.
- Continuing Education
- Document 35 hours of continuing education within two years of the application.
- Inactive License
- The professional license has been inactive for no more than five years.
Official no-examination sources
Effective from 2026-09-29.
- Georgia Composite Board Rules, Department 135
Rule 135-6-.06(5)
Reinstatement more than five years after expiration
- Board Discretion
- Reinstatement remains at the Board's discretion.
- Continuing Education
- Provide 35 continuing education hours completed within two years of application.
- Exam Exception
- Retaking the examination is waived if continuously licensed and practicing in a jurisdiction whose licensing requirements meet or exceed Georgia's.
- Prior License
- Previously held a Georgia MFT license that expired more than five years ago.
Reinstatement within five years of expiration
- Continuing Education
- Document 35 hours for each missed renewal cycle, with at least 35 hours completed within two years of the application.
- Fee
- Pay the late renewal penalty fee.
- Prior License
- Previously held this license; the Board has discretion to reinstate it.
Official no-examination sources
Effective from 2026-09-29.
- Georgia Composite Board Rules, Department 135
Rule 135-6-.04(1) lmft
Biennial license renewal
- Continuing Education
- Provide proof of continuing education required by Rule 135-9-.01.
- Current License
- Renew by September 30 of an even-numbered year; late renewal is available through October 31 with a penalty.
Official no-examination sources
Effective from 2026-09-29.
- Georgia Composite Board Rules, Department 135
Rule 135-6-.03(3) lmft
AMFTRB Marital and Family Therapy National Examination
- Provider
- Association of Marital and Family Therapy Regulatory Boards (AMFTRB); administered for AMFTRB by Professional Testing Corporation (PTC) at Prometric computer-based testing centers
- Format
- Computer-based examination of objective multiple-choice questions, each with four alternative answers of which only one is correct; given during a one-week testing window every month; scores on the six domains and the total examination are reported after the window closes
- Exam questions
- 180 multiple-choice items
- Time limit
- 4 hours total testing time
- Passing score
- Criterion-referenced passing score set on an anchor examination by a modified Angoff method and adjusted across forms by equating; the reported score equals the total number of correct responses
- Exam fee
- US $370.00 examination fee (includes testing center fees)
Examination outline
Domain 01 — The Practice of Systemic Therapy — Tasks related to incorporating systemic theory and perspectives into practice activities, and establishing and maintaining ongoing therapeutic relationships with the client system inclusive of diverse cultural contexts. (16%; 29 items) (16%)
- 01.01 Conceptualize therapy consistent with the philosophical perspectives of systemic theory.
- 01.02 Maintain consistency between systemic theory and clinical practice.
- 01.03 Integrate individual treatment approaches with systemic treatment approaches.
- 01.04 Integrate multiple dimensions of diversity and social justice theories with systemic treatment approaches.
- 01.05 Use a systemic perspective to co-create a safe, inclusive, and non-judgmental space.
- 01.06 Use a systemic perspective to co-create a therapeutic relationship with the client system.
- 01.07 Use a systemic perspective to understand the complexities inherent in therapeutic interactions (e.g., family homeostasis, self of the therapist).
Domain 02 — Assessing, Hypothesizing, and Diagnosing — Tasks related to assessing and conceptualizing the various dimensions of the client system inclusive of diverse cultural contexts, including forming and reformulating systemic hypotheses and diagnosing the client system to guide therapeutic activities and interventions, including use of artificial intelligence (AI) as appropriate. (16%; 29 items) (16%)
- 02.01 Assess the client system’s verbal and non-verbal communication styles to develop hypotheses about relationship patterns, perceptions, and responses to the reciprocal influence of relational patterns and the presenting issues.
- 02.02 Assess the mental status of clients.
- 02.03 Assess historic and current self-injurious behavior, suicidal ideation and intent, and/or homicidal ideation and intent.
- 02.04 Identify and assess behavioral dynamics, processes, and interactional patterns (e.g., boundaries, roles, rules, alliances, coalitions, and hierarchies) within the client system to determine systemic functioning.
- 02.05 Formulate and continually assess hypotheses regarding the client system that consider and incorporate diverse contexts.
- 02.06 Assess appropriateness of potential treatment and therapeutic delivery modalities for the client system.
- 02.07 Assess environmental factors (e.g., discrimination, gang violence, migration) affecting the client system.
- 02.08 Assess the client system’s levels of economic, social, emotional, physical, spiritual, and cognitive functioning.
- 02.09 Assess historic and current effects of substance use disorders on the functioning of the client system.
- 02.10 Assess historic and current effects of violence or trauma, including vicarious trauma, on the client system.
- 02.11 Assess historic and current effects of childhood experiences and traumas on the client system.
- 02.12 Assess historic and current effects of impact of process use disorders (e.g., gambling, internet use, technology use, shopping) on functioning of the client system.
- 02.13 Assess historic and current effects of sexual functioning on the client system.
- 02.14 Assess how the developmental and family life cycle stages of the client system impact problem formation, maintenance, and resolution.
- 02.15 Assess strengths, resources, coping skills, and resilience within and available to the client system.
- 02.16 Select, administer, review, and/or interpret results of standardized instruments within the therapist’s training, competence, and scope of practice.
- 02.17 Assess and diagnose clients in accordance with current DSM and ICD diagnostic criteria while maintaining a systems perspective.
- 02.18 Formulate treatment hypotheses that integrate systemic perspectives, assessment inventories, and diagnostic impressions.
- 02.19 Assess effects of occupational issues on the client system (e.g., military personnel, workers in geographically dispersed locations, first responders).
- 02.20 Collaborate with the client system to determine need for evaluation by other professional and community systems.
- 02.21 Collaborate with professional and community systems as appropriate in making diagnoses and establishing treatment priorities.
- 02.22 Collaborate with the client system to refer as appropriate based on diagnoses and treatment priorities.
Domain 03 — Designing and Conducting Treatment — Tasks related to developing and implementing a course of culturally responsive treatment with the client system, including identifying possible therapeutic models, implementing associated interventions, and treatment planning, including use of artificial intelligence (AI) as appropriate. (17%; 30 items) (17%)
- 03.01 Evaluate and maintain a quality therapeutic alliance with the client system.
- 03.02 Establish therapeutic contracts.
- 03.03 Utilize assessment information to develop a treatment plan that reflects a contextual understanding of the presenting issue.
- 03.04 Determine relevant short-term goals, long-term goals and objectives for treatment, as well as criteria for successful completion of treatment.
- 03.05 Identify the client system’s previous and current attempts to resolve the presenting issues.
- 03.06 Identify members of client and collateral systems involved in resolving issues.
- 03.07 Develop and monitor ongoing safety plan to address identified safety risks for the client in all therapeutic delivery contexts.
- 03.08 Engage in therapeutic interventions based on theory and current research and a shared contextual understanding of the client system and presenting issues.
- 03.09 Clarify with the client system the rationale for selecting therapeutic interventions as appropriate.
- 03.10 Collaborate with the client system to determine sequence of treatment and identify which members will be involved.
- 03.11 Develop and monitor recovery-oriented systemic care for treatment of substance use disorders.
- 03.12 Use genograms and/or family mapping as therapeutic interventions as indicated.
- 03.13 Facilitate client system change through restructuring and reorganization.
- 03.14 Collaborate with the client system to identify and explore competing priorities of client issues to be addressed in treatment.
- 03.15 Assist the client system in developing decision-making, coping, and effective verbal and non-verbal communication skills in their relational contexts.
- 03.16 Attend to the homeostatic process and its impact on the client system’s ability to attain therapeutic goals.
- 03.17 Assist the client system in developing alternative perspectives of the presenting issues to facilitate solutions.
- 03.18 Influence client behavior and perceptions through use of metaphor, rewriting narratives, mindfulness, etc.
- 03.19 Integrate cultural, spiritual, social, intellectual, and biological characteristics and strengths of the client system when devising effective treatment strategies.
- 03.20 Recognize and support client autonomy when devising effective treatment strategies.
- 03.21 Maintain awareness of common side effects of medications, monitor client system for these within the boundaries of professional competence, and coordinate care with any relevant prescribers.
- 03.22 Adapt therapeutic stance and interventions to accommodate the process and structure of all therapeutic delivery modalities.
Domain 04 — Evaluating Ongoing Process and Terminating Treatment — Tasks related to continuously evaluating the therapeutic process, incorporating feedback into the course of treatment, and planning for termination, inclusive of different cultural contexts and use of artificial intelligence (AI) as appropriate. (16%; 29 items) (16%)
- 04.01 Use theory and current research in the ongoing evaluation of process, outcomes, and termination.
- 04.02 Evaluate the progress of therapy in collaboration with client and collateral systems as indicated.
- 04.03 Modify treatment plan in collaboration with client and collateral systems as indicated.
- 04.04 Continually evaluate client system appropriateness for all therapeutic delivery modalities.
- 04.05 Develop a termination plan in collaboration with the client and collateral systems to maintain therapeutic gains after treatment has ended.
- 04.06 Terminate therapeutic relationship in a professional and culturally responsive manner.
Domain 05 — Managing Crisis Situations — Tasks related to assessing and managing emergency situations, inclusive of different cultural contexts, and intervening when clinically indicated and/or legally mandated. (16%; 29 items) (16%)
- 05.01 Assess impairment in the client system during crisis situations to determine if and what immediate interventions may be needed.
- 05.02 Assess for presence of suicidal ideation and determine the level of intervention.
- 05.03 Assess for risk of violence toward the client from others to determine the need for intervention.
- 05.04 Assess the client’s potential for self-injurious behavior to determine level of intervention.
- 05.05 Assess the client’s potential for violence or harm toward others, including the therapist, to determine level of intervention.
- 05.06 Assess risk of violence toward therapist from sources outside of the client system and develop a safety plan.
- 05.07 Assess impact of community-level crisis on client system and develop interventions as they pertain to that crisis.
- 05.08 Assess the impact of client system’s trauma history and other relevant contextual factors on current crisis.
- 05.09 Collaborate with other relevant stakeholders in managing client system’s crisis.
- 05.10 Respond to emerging crisis as appropriate to the therapeutic delivery modality and use relevant crisis resources.
Domain 06 — Maintaining Ethical, Legal, and Professional Standards — Tasks related to ongoing adherence to legal and ethical codes and treatment agreements, maintaining culturally responsive competency, upholding professional standards, and utilizing artificial intelligence (AI) in clinical practice. (19%; 34 items) (19%)
- 06.01 Demonstrate professional responsibility and competence regarding legal issues and regulations across therapeutic delivery modalities, including use of artificial intelligence (AI).
- 06.02 Compare agency and employment policies with relevant ethics code, statutes, case law, and regulations and privilege the higher standard.
- 06.03 Integrate current ethical codes of licensing boards, relevant professional organizations, and associations into appropriate professional practice.
- 06.04 Adhere to relevant business laws related to clinical practice (e.g., Stark Law, Anti-Kickback Statute, False Claims Act, etc.)
- 06.05 Practice within therapist’s scope of competence.
- 06.06 Maintain awareness of and effectively manage how the therapist’s personal issues, life experiences, values and morals, and previous trauma impact the therapeutic process.
- 06.07 Maintain awareness of and effectively manage how the supervisors’ personal issues, life experiences, values and morals, and previous trauma influence the supervisory process
- 06.08 Adhere to treatment agreements with client systems and respect the rights of clients.
- 06.09 Provide the client system with written professional disclosures regarding fees, credentials, reporting complaints, confidentiality, privileged communication, and providing technologically assisted services, including use of artificial intelligence (AI), etc.
- 06.10 Confirm the client system’s identities, locations, and safety levels at the beginning of each teletherapy session.
- 06.11 Monitor and mitigate risk for potential exploitation of the client system by the therapist.
- 06.12 Consult with colleagues and other professionals as necessary regarding ethical and legal issues, and document these consultations.
- 06.13 Respect the roles and responsibilities of other professionals involved in the client system’s treatment process as they relate to ethical and legal issues.
- 06.14 Maintain accurate and timely records including long-term safe and confidential storage and plan record transfer and/or disposal within timeframes specified by current statutes.
- 06.15 Adhere to ethical and regulatory guidelines for engaging in the supervisor-supervisee relationship across modalities.
Examination sources
- AMFTRB Handbook for Candidates for the AMFTRB Marital and Family Therapy National Examination (2026 Edition), published by Professional Testing Corporation
Handbook p. 15, blueprint table heading
- AMFTRB Handbook for Candidates for the AMFTRB Marital and Family Therapy National Examination (2026 Edition), published by Professional Testing Corporation
Handbook p. 14, "CONTENT OF THE EXAMINATION", item 2 (left column)
- AMFTRB Handbook for Candidates for the AMFTRB Marital and Family Therapy National Examination (2026 Edition), published by Professional Testing Corporation
Handbook p. 15, blueprint table, Domain 6 row
- AMFTRB Handbook for Candidates for the AMFTRB Marital and Family Therapy National Examination (2026 Edition), published by Professional Testing Corporation
Handbook p. 15, note below blueprint table
- AMFTRB Handbook for Candidates for the AMFTRB Marital and Family Therapy National Examination (2026 Edition), published by Professional Testing Corporation
Handbook p. 16, "CONTENT OUTLINE", Domain 01 heading (left column)
- AMFTRB Handbook for Candidates for the AMFTRB Marital and Family Therapy National Examination (2026 Edition), published by Professional Testing Corporation
Handbook p. 18, "CONTENT OUTLINE", task 06.15 (right column)
- AMFTRB Handbook for Candidates for the AMFTRB Marital and Family Therapy National Examination (2026 Edition), published by Professional Testing Corporation
Handbook p. 20, "KNOWLEDGE AREAS", item 75 (right column)
- AMFTRB Handbook for Candidates for the AMFTRB Marital and Family Therapy National Examination (2026 Edition), published by Professional Testing Corporation
Handbook p. 14, "CONTENT OF THE EXAMINATION", item 1 (left column)
- AMFTRB Handbook for Candidates for the AMFTRB Marital and Family Therapy National Examination (2026 Edition), published by Professional Testing Corporation
Handbook p. 14, "CONTENT OF THE EXAMINATION", item 1 continued (left column)
- AMFTRB — Exam Reference: Detailed Overview of the Examination in Marital and Family Therapy
Exam Reference page, section "Test Content", second paragraph
- AMFTRB — Exam Reference: Detailed Overview of the Examination in Marital and Family Therapy
Exam Reference page, section "Scoring", "Other Considerations"
- AMFTRB — Exam Reference: Detailed Overview of the Examination in Marital and Family Therapy
Exam Reference page, section "Scoring", first paragraph
- AMFTRB Handbook for Candidates for the AMFTRB Marital and Family Therapy National Examination (2026 Edition), published by Professional Testing Corporation
Handbook p. 12, "SETTING A PASSING SCORE" continued (left column)
- AMFTRB Handbook for Candidates for the AMFTRB Marital and Family Therapy National Examination (2026 Edition), published by Professional Testing Corporation
Handbook p. 3, "A NOTE ABOUT STATE APPROVAL CODES"
- AMFTRB Handbook for Candidates for the AMFTRB Marital and Family Therapy National Examination (2026 Edition), published by Professional Testing Corporation
Handbook p. 5, "INITIAL APPLICATION PROCEDURE", Step 2 heading (left column)
- AMFTRB Handbook for Candidates for the AMFTRB Marital and Family Therapy National Examination (2026 Edition), published by Professional Testing Corporation
Handbook p. 1, "TESTING PERIODS" table, row for the 8/1/2026 deadline
- AMFTRB Handbook for Candidates for the AMFTRB Marital and Family Therapy National Examination (2026 Edition), published by Professional Testing Corporation
Handbook p. 4, "Choosing a Testing Period" (right column)
- AMFTRB Handbook for Candidates for the AMFTRB Marital and Family Therapy National Examination (2026 Edition), published by Professional Testing Corporation
Handbook p. 5, fee table, Examination Fee row
- AMFTRB Handbook for Candidates for the AMFTRB Marital and Family Therapy National Examination (2026 Edition), published by Professional Testing Corporation
Handbook p. 6, "EXAMINATION ADMINISTRATION AND SCHEDULING" (left column)
- AMFTRB Handbook for Candidates for the AMFTRB Marital and Family Therapy National Examination (2026 Edition), published by Professional Testing Corporation
Handbook p. 11, "SCORE REPORTS" (left column)
- AMFTRB Handbook for Candidates for the AMFTRB Marital and Family Therapy National Examination (2026 Edition), published by Professional Testing Corporation
Handbook p. 5, right column, retake limit