TX HHS Form 3248. Chemical Dependency Counselor Intern Registration Application

The TX HHS Form 3248, Chemical Dependency Counselor Intern Registration Application, is a crucial document for individuals seeking to register as chemical dependency counselors in the state of Texas. This form helps solve the problem of obtaining the necessary registration for aspiring professionals in the field.

This application requires key information such as personal details, education background, and initial intern registration fee payment. The form also outlines specific conditions and responsibilities, including a statement of understanding that authorizes the release of any relevant information to the Texas Health and Human Services Commission (HHSC). Additionally, applicants must attest to the truthfulness of their application and understand the consequences of intentionally false or misleading statements.

The TX HHS Form 3248 is typically used by individuals seeking to register as chemical dependency counselors in Texas. Key features of this form include:

• Required personal information, including social security number, date of birth, and sex
• Necessary education details, such as highest level of education completed and degree awarded
• Initial intern registration fee payment and background investigation fee
• Statement of understanding regarding the release of information to HHSC
• Attestation of truthfulness and understanding of consequences for false statements