TX HHS Form 3238. Licensed Chemical Dependency Counselor or Counselor Intern Name Change or Duplicate License Application

The TX HHS Form 3238, Licensed Chemical Dependency Counselor or Counselor Intern Name Change or Duplicate License Application, is a crucial document for professionals in the field of chemical dependency counseling. This form helps solve the problem of updating license information due to name changes or lost/damaged licenses.

This application requires specific information from the licensee, including licensure type (LCDC or LCDC-1), profile data such as area code and phone number, date issued and expiration date, and supporting documents for name changes. The form also outlines procedures for requesting duplicate license and renewal cards, as well as reprinting fees.

To complete this application, you must include the $10 fee as required by Texas Administrative Code Title 26 Section 562.4(a)(6). You can submit your application and fees to HHHS ARTS at P.O. Box 149055, Austin, TX 78714-9055. For questions or concerns, email [email protected]. Key points to keep in mind:

• This form is used for name changes or duplicate license requests.
• You must attach supporting documents showing the name change.
• A $10 fee is required for reprinting.