Form 3248, Chemical Dependency Counselor Intern Registration Application

Effective Date

7/2025

3248.pdf

Instructions

Updated: 7/2025

Purpose

Form 3248 is used to apply for initial and subsequent registration as a licensed chemical dependency counselor intern (LCDC-I). For questions on the LCDC Program, email lcdc@hhs.texas.gov.

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

Procedure

When to Prepare

An applicant must submit the application, fees and other documents and complete all actions required by Texas Administrative Code (TAC) Title 26, Chapter 562, Licensed Chemical Dependency Counselors, Section 562.5, LCDC Licensure Application Standards and Counselor Intern Registration.

The Texas Health and Human Services Commission (HHSC) must review and approve all required application materials received before HHSC will register the applicant as an LCDC-I.

Initial Registration

An applicant must meet all the eligibility criteria under 26 TAC Section 562.6.

An applicant must submit to HHSC:

The following per 26 TAC Section 562.5(a):
- A completed, signed, dated and notarized Form 3248.
- A recent full-face wallet size photo, 2.5-inch by 3.5-inch, attached to Form 3248.
- Application fee of $25 and background investigation fee of $40 per 26 TAC Section 562.5(a)(1) and 26 TAC Section 562.4(a).
  Note: Do not separate the payment. The check or money order must be made payable to Texas Health and Human Services Commission and must be in the amount of $65.
The following per 26 TAC Section 562.6:
- an official college transcript, no photocopies, that documents the applicant completed 270 classroom hours and 300 hours of approved supervised field work practicum with a letter from the school’s educational coordinator or chair that states the applicant's completed practicum was in the field of chemical dependency; or
- an official college transcript that shows an approved degree, which exempts the applicant from the education and practicum requirements.
  Note: HHSC must receive an official college transcript in a sealed envelope from the applicant’s school. 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 by email to lcdc@hhs.texas.gov or U.S. mail to:
  
  HHS LCDC, Mail Code 1982
  P.O. Box 149347
  Austin, TX 78714-9347

Fingerprint Instructions

Once HHSC receives a complete application and fee, HHSC will send you instructions and a unique code to obtain two sets of fingerprints from IdentoGo. This is necessary to obtain a criminal history check from both the Texas Department of Public Safety and the Federal Bureau of Investigations, as required by 26 TAC Section 562.31.

Subsequent Registration

To re-register as a counselor intern after an LCDC-I counselor intern registration expires, an applicant must meet the requirements for subsequent registration under 26 TAC Section 562.14.

An applicant must submit to HHSC:

The following per 26 TAC Section 562.14(2):
- A completed, signed, dated and notarized Form 3248.
- A recent full-face wallet-size photo, 2.5-inch by 3.5-inch, attached to Form 3248.
- The initial LCDC application fee of $25 and background investigation fee of $40, as required by 26 TAC Section 562.5(a)(1) and 26 TAC Section 562.4(a)(4).
  Note: Do not separate the payment. The check or money order must be made payable to Texas Health and Human Services Commission and must be in the amount of $65.

Mailing Address for Applications with Fees:

HHSC Account Receivable, Mail Code 1470
P.O. Box 149055
Austin, TX 78714-9055

Overnight Address:

HHSC Accounts Receivable
4601 W. Guadalupe Street
Mail Code 1470
Austin, TX 78751

Note: Mailing the application and fees to an address other than one listed above will delay the application process.