TX HHS Form 3262. Licensed Chemical Dependency Counselor Intern Supervised Work Experience Documentation

The TX HHS Form 3262, Licensed Chemical Dependency Counselor Intern Supervised Work Experience Documentation, is a crucial document for tracking the supervised work experience of licensed chemical dependency counselor interns (LCDCs) in Texas. This form helps solve the problem of verifying the completion of required hours and documenting changes in supervision or training sites.

The form requires submission of specific information, including the LCDC intern's details, CTI site information (if applicable), and CCS information (if applicable). It also outlines important sections to complete, such as Section 1 - Purpose of Submission, which verifies that the LCDC has completed the required hours. Common scenarios for using this form include when an LCDC completes the required 4,000 hours or changes their CTI or CCS.

This form must be submitted by a clinical training institution (CTI) coordinator or certified clinical supervisor (CCS), and it is essential to note that HHSC will not accept hours submitted outside of this process. The form should only be completed once the LCDC has completed 4,000 hours or when they change their CTI or CCS.