TX HHS Form 3245. Initial Licensed Sex Offender Treatment Provider Supervisor Application

The TX HHS Form 3245, Initial Licensed Sex Offender Treatment Provider Supervisor Application, is a crucial document for licensed sex offender treatment providers seeking to upgrade their status to supervisor. This form helps solve the problem of ensuring that only qualified professionals are authorized to supervise other sex offender treatment providers in Texas.

This application requires applicants to provide essential information about their professional background and experience. Key features include the submission of a copy of the primary mental health or medical license, payment of a $40.00 credentialing fee, and acknowledgment of specific responsibilities and signature. The form also outlines conditions for supervision, including the requirement for face-to-face supervision and documentation of continuing education hours.

To complete this application, applicants must understand and agree to various responsibilities, including notification of termination of supervision and submission of CSOT forms at renewal time. Additionally, applicants must attest that they meet all requirements to supervise affiliate sex offender treatment providers. The completed application packet, along with the required fee, should be mailed to HHS ARTS at P.O. Box 149055 Austin, TX 78714-9055.

• Only licensed sex offender treatment providers with five years of experience are eligible to apply for supervisor status.
• The application requires a copy of the primary mental health or medical license and payment of a $40.00 credentialing fee.
• Applicants must acknowledge specific responsibilities, including notification of termination of supervision and submission of CSOT forms at renewal time.