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Centralized Training

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Choose your username and password

Work Email (lower case only)

The password must have at least 6 characters, at least 1 digit(s), at least 1 lower case letter(s), at least 1 upper case letter(s)

Password

More details

Work Email Address (lower case only)

Confirm Email

First name

Lastname

City/town

Country

Centralized Training Required Fields

Clinical License Type

If you are a professional nurse, please select your title

Please enter your highest degree

Years of Experience

Address

State

Zip Code - Please Provide the first five digits only

Agency Type

Please select the population for which you provide services:

For which type of conditions do you provide services?

Are you a Peer Specialist?

Select your certification (Peer)

Are you a Family Partner?

Are you a certified family partner?

Do you work at/for an HHSC contracted Residential Treatment Center (RTC) in Texas?

There are required fields in this form marked .