Form 3258 Peer Assistance Program Access Attestation - Licensed Chemical Dependency Counselor Program - Texas

Form 3258 Peer Assistance Program Access Attestation - Licensed Chemical Dependency Counselor Program - Texas

What Is Form 3258?

This is a legal form that was released by the Texas Health and Human Services - a government authority operating within Texas. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form 3258?A: Form 3258 is the Peer Assistance Program Access Attestation form for the Licensed Chemical Dependency Counselor Program in Texas.

Q: What is the Peer Assistance Program?A: The Peer Assistance Program is a support program for licensed chemical dependency counselors in Texas.

Q: What is the Licensed Chemical Dependency Counselor Program?A: The Licensed Chemical Dependency Counselor Program is a program in Texas that regulates and licenses individuals who provide counseling services for those struggling with chemical dependency.

Q: What is the purpose of Form 3258?A: Form 3258 is used to attest to a licensed chemical dependency counselor's access to the Peer Assistance Program.

Q: Who needs to complete Form 3258?A: Licensed chemical dependency counselors in Texas need to complete Form 3258.

Q: How can I access Form 3258?A: Form 3258 can typically be obtained from the licensing authority overseeing the Licensed Chemical Dependency Counselor Program in Texas.

Q: Is Form 3258 specific to Texas?A: Yes, Form 3258 is specific to the Licensed Chemical Dependency Counselor Program in Texas.

Q: Are there any fees associated with submitting Form 3258?A: The fees associated with Form 3258 may vary depending on the licensing authority in Texas.

Q: What information is required on Form 3258?A: Form 3258 typically requires personal information, identification of any past addiction or mental health diagnoses, and a statement of attestation.

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Form Details:

  • Released on November 1, 2022;
  • The latest edition provided by the Texas Health and Human Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 3258 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.

Download Form 3258 Peer Assistance Program Access Attestation - Licensed Chemical Dependency Counselor Program - Texas

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