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Texas department state health services licensed chemical dependency counselor intern evaluation packet form 2026
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- Click ‘Get Form’ to open the texas department state health services licensed chemical dependency counselor intern evaluation packet form in the editor.
- Begin by entering the date this quarterly form started and the intern's name at the top of the document.
- For each week, complete one section of the form. Use the scoring criteria provided to evaluate performance in areas such as relationship building, counseling foundations, and clinical skills.
- Ensure that both the supervisor and intern initial each section after completion, and record hours accrued as indicated.
- At the end of the quarter, total all scores from each section to calculate a final score out of five hundred points. Double this score to find the percentage.
- Remember to keep this packet for internal records; do not submit it to DSHS. It should be available for review during audits.
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lcdc intern
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