Dyslexia Therapists and Practitioners Forms

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Please note the following policy regarding the filing of forms which collect a person's individual information:

"An individual who completes and files this form with the Texas Department of Licensing and Regulation (the Department) is entitled to the following from the Department:

(1) to be informed about the information that the Department collects about the individual, upon the request of the individual and subject to a few exceptions;

(2) to receive and review the information, under Sections 552.021 and 552.023 of the Texas Government Code; and

(3) to have the Department correct information about the individual that is incorrect, under Section 559.004 of the Texas Government Code."

Dyslexia Therapists and Practitioners Forms

DYS001 Dyslexia Therapist or Dyslexia Practitioner Application (48KB PDF)

DYS002 Dyslexia Therapist and Dyslexia Practitioner Notice of Change and Duplicate License Request (39KB PDF)

Other Forms

Disciplinary Action Questionnaire (98KB PDF)

Criminal History Questionnaire (63KB PDF)

Military Service Member, Military Veteran, or Military Spouse Supplemental Application (110KB PDF) - see Military Spouse Frequently Asked Questions

TDLR Complaint Sign (107KB PDF)

Request to Executive Director for Expired License Renewal (56KB PDF)

Criminal History Evaluation Letter