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You are here: www.tdi.texas.gov . wc . rtw . registry

Registry of Private Providers of Vocational Rehabilitation Services

Registry of Private Providers of Vocational Rehabilitation Services (PDF) 9/22/15

How to Apply for Inclusion in the Registry

Private providers of vocational rehabilitation services may apply to be listed in the Division of Workers' Compensation (DWC) Registry of Private Providers of Vocational Rehabilitation Services, provided below.

28 Texas Administrative Code (TAC) §136.2 requires a private provider who wishes to be included in the DWC's registry to complete, sign and submit an agency-approved registration form. Section 136.2(b)(5) requires a statement showing that the private provider is credentialed as an LPC, CCM, CRC, CVE or CDMS.

Although only individual private providers can be included in the registry, an individual provider may list a business affiliation if desired. The application is valid for a one-year period.

To apply, please complete DWC Form-065 and mail or fax your application and attachments to:

Texas Department of Insurance
Division of Workers' Compensation
Communications and Outreach, MS-5
7551 Metro Center Drive, Ste. 100
Austin, TX 78744-1645
Fax: 512-804-4682

After reviewing the application and attachments to determine if the provider meets the qualifications set out in Rule 136.2, the DWC will send the provider written results of the review.

If you have any questions, please call DWC Outreach at 512-804-4685.

For more information contact:

Last updated: 09/22/2015

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Translation by WorldLingo

Translation by WorldLingo