Form 3236, Licensed Chemical Dependency Counselor Licensure by Reciprocity Application

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Documents

Effective Date: 2/2022

Instructions

Updated: 12/2023

Purpose

Form 3236 is used for individuals licensed or certified as a chemical dependency counselor in another state to apply for licensure as a licensed chemical dependency counselor (LCDC) by reciprocity. For questions on the LCDC Program, email lcdc@hhs.texas.gov.

Information regarding licensure is located on the Texas Health and Human Services website.

Procedure

When to Prepare

An applicant must submit the application, fee and other documents, and complete all actions as required by Texas Administrative Code Title 25 (25 TAC) Chapter 140, Licensed Chemical Dependency Counselors, Section 140.414 LCDC Licensure Through Reciprocity.

The Texas Health and Human Services Commission (HHSC) must approve all required application materials received before HHSC will issue a license to the applicant.

Registration

An applicant must meet all eligibility criteria under 25 TAC Section 140.414.

An applicant must submit the following to HHSC by mail:

  • The following in accordance with 25 TAC Section 140.414:
    • A completed signed, dated and notarized Form 3236.
    • A recent full-face wallet sized photo (2.5" by 3.5") attached to Form 3236.
    • A total application fee of $150, as required by 25 TAC Section 140.414(a)(6) and 25 TAC Section 140.403(a).
      • HHSC will not process an application before receiving the required $150 fee. Make checks for all license fees payable to Texas Health and Human Services Commission. License fees are not refundable.
    • Two letters of recommendation.
    • A copy of the applicant's reciprocal license or certification with verified information from the issuing authority as to any disciplinary history against the applicant.
      • Verified information may include a license verification or a letter from the issuing authority stating the applicant's license is in good standing.
    • Proof of the applicant's successful completion of the Alcohol and Drug Counselor Examination.
  • An IdentoGo receipt for two sets of fingerprints necessary to obtain a criminal history check from both the Texas Department of Public Safety and the Federal Bureau of Investigations, as required by 25 TAC Section 140.431.
  • An official college transcript showing the applicant holds an associate degree or more advanced degree in accordance with 25 TAC Section 140.414(a)(8).

Note: HHSC must receive an official college transcript in a sealed envelope from the applicant’s school. Either the applicant may request an official college transcript from the school and include the sealed transcript in their application or the school may send the transcript separately to lcdc@hhs.texas.gov or U.S. mail to:

HHS LCDC, Mail Code 1982
P.O. Box 149347
Austin, Texas 78714-9347

The Mailing Address for the Application with Fee:

HHSC Accounts Receivable
Mail Code 1470
P.O. Box 149055
Austin, Texas 78714-9055

Note: Mailing the application and fees to an address other than the one listed above will result in a delay in the processing of your application.