Get Tx Lcdc Qcc Forms

Filling out the Tx Lcdc Qcc Forms online is an essential step for organizations seeking to register as Clinical Training Institutions. This guide will provide clear, detailed instructions to help users navigate the form efficiently, ensuring a smooth submission process.

Follow the steps to complete the Tx Lcdc Qcc Forms online.

1. Click the ‘Get Form’ button to access the Tx Lcdc Qcc Forms and open it in your preferred editor.
2. In the organization information section, enter the name of your organization and any applicable 'doing business as' (dba) name. Complete the mailing address, including city, state, and ZIP code.
3. Provide the telephone and fax numbers for your organization. Include the facility license number, if applicable.
4. Indicate whether your organization has exempt status and specify the number of Qualified Chemical Dependency Counselors (QCCs) on staff.
5. Describe the services provided at the location where interns will gain their training experience. Be thorough in detailing this information as it is vital for approval.
6. In the CTI coordinator information section, print the name of the CTI coordinator and enter their license type and number, as well as their title.
7. The CTI coordinator must attest to the truthfulness of the information provided by signing the application and dating it.
8. Prepare and attach all required documentation, such as the criteria for admitting a Counselor Intern (CI), proof of registration with the Department, and a signed ethical agreement.
9. Provide a written outline of reading assignments and training activities, delineated by each Knowledge, Skills, and Attitudes (KSA) dimension.
10. After completing the form and attaching all necessary documents, save your changes, and choose to download, print, or share the form as needed.

Take action now to complete your Tx Lcdc Qcc Forms online and ensure a successful registration process.