TX HHS Form 3244. Clinical Training Institution Application

The TX HHS Form 3244, Clinical Training Institution Application, is a crucial document for organizations seeking to establish or renew their clinical training institution (CTI) permit. This form helps solve the problem of obtaining necessary permits and licenses to operate a CTI in Texas.

This application requires key information about the organization, including its name, mailing address, facility license number, and exempt status. Additionally, applicants must provide details about their CTI coordinator, such as their name, license type, and number. The form also asks for a description of services provided to interns and required documents, including criteria for admitting counselor interns into the program.

The TX HHS Form 3244 should be used by organizations seeking to establish or renew their CTI permit in Texas. To ensure approval, applicants must attach all required documents, including proof of a person's clinical registration with the Texas Health and Human Services Commission and a signed ethical agreement. The form can be submitted via email to [email protected] or by mail to the Professional Licensing and Certification Unit — Clinical Training Institution (CTI) at P.O. Box 149347, Mail Code 1982 Austin, Texas 78714-9347.