TX HHS Form 3237. Certified Clinical Supervisor Application

The TX HHS Form 3237, Certified Clinical Supervisor Application, is a crucial document for professionals seeking certification as clinical supervisors in Texas. This form helps solve the problem of applying for or renewing certification as a certified clinical supervisor (CCS), ensuring compliance with state regulations and requirements.

To complete this application, applicants must provide essential information, including their professional license type, such as Licensed Chemical Dependency Counselor (LCDC) or Licensed Professional Counselor (LPC). The form also requires submission of documentation supporting the applicant's qualifications, including current certification as a clinical supervisor issued by the International Certification and Reciprocity Consortium (IC&RC) or its member boards. Additionally, applicants must provide a plan of activities for any counselor they supervise, outlining Knowledge Skills and Attitudes (KSA) dimensions.

This application is typically used by professionals seeking to become certified clinical supervisors in Texas. The form outlines specific requirements, including being a Qualified Credentialed Counselor (QCC), providing services primarily to clients with substance use disorder, and passing a criminal background check. Renewal applicants must also pay the required fees, which vary depending on their professional license type.