Get Form D Mftrev11 12 - Texas Department Of State Health Services - Dshs State Tx
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How to fill out the Form D MFTRev11 12 - Texas Department Of State Health Services - Dshs State Tx online
Filling out the Form D MFTRev11 12 is an essential step for individuals seeking board-approved supervisor status in marriage and family therapy in Texas. This guide provides a clear, step-by-step approach to assist you in completing the form efficiently and accurately online.
Follow the steps to complete the form easily:
- Click the ‘Get Form’ button to obtain the form, which will open for you to fill out online.
- Begin by entering your name in the designated fields: first, middle, and last.
- Fill in your address accurately, including street, city, state, and ZIP code.
- Provide your phone number in the specified field.
- Indicate whether you hold a current license as a Licensed Marriage and Family Therapist and provide license information: state/jurisdiction, license number, issue date, and expiration date.
- Answer the academic requirement questions by selecting 'yes' or 'no' for each criterion, providing documentation where necessary.
- Indicate your licensed experience by detailing the number of hours of direct client contact provided and listing agencies where the experience occurred, including relevant dates.
- Include the required application fee of $20 in the appropriate section of the form.
- After completing the form, review all fields for accuracy and completeness.
- Save your changes, and then download, print, or share the completed form as needed.
Start completing your form online today to ensure a smooth application process.
The commissioner of the Texas State Health Services leads the agency's mission to protect and improve the health of Texans. This role is instrumental in overseeing health programs, public health responses, and regulatory compliance. For any inquiries related to health services or forms like Form D MFTRev11 12 - Texas Department Of State Health Services - Dshs State Tx, reaching out to the commissioner's office can provide valuable assistance.
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