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.
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.
Form Details:
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.