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Get LCDC Intern Registration Application - Texas Department Of State ... - Dshs State Tx

Please follow the instructions on the pass carefully. Please include a copy of your receipt or written confirmation of your fingerprint submission with this application. Statement of Understanding I hereby authorize any organization s entities or person s named in this application to release to the Texas Department of State Health Services DSHS any information they may have regarding me. I understand that licensure depends on my meeting the requi.

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