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Get Clinical Training Institution (CTI) Application Form - Texas ... - Dshs State Tx

(512) 834-6605 FAX: (512) 834-6677 http://www.dshs.state.tx.us/lcdc CLINICAL TRAINING INSTITUTION (CTI) PERMIT APPLICATION Check one: New Application Renewal Application for permit # ORGANIZATION INFORMATION Name of Organization (dba if applicable) Mailing Address City State ZIP Code.

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