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Complete the form below to register. Once registered, you will have access to launch courses in the system.
Required items are marked with an asterisk (*)
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First Name /
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Last Name
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Email Address :
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Username (case-sensitive):
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Password (case-sensitive):
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Confirm Password (case-sensitive):
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Are you enrolled as a Medicaid provider?
Yes
No
Do you have a TPI#?
Yes
No
TPI#:
Do you have a NPI#?
Yes
No
NPI#:
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If not enrolled, do you provide services under the direction of an enrolled provider?
Yes
No
*
Do you consent to having your name appearing on the Health and Human Services Commision website recognizing the completiong of each training module?
I consent to my name appearing on the Health and Human Services Commission website recognizing my completion of each training module.
I do not consent to my name appearing on the Health and Human Services Commission website recognizing my completion of each training module.
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What is your specialty?
Allergy & Immunology
Anesthesiology
Audiologist
Chiropractor
Certified Health Educator
Clinical Neuropsychologist
Clinical Nurse Specialist
Colon & Rectal Surgery
Counselor
CPW Case managers
Dental Hygienists
Dentist
Dermatology
Dietitian, Registered
Emergency Medicine
Family Medicine
General Practice
Internal Medicine
Medical Genetics
Midwife, Certified Nurse
Neurological Surgery
Neurology
Neuromusculoskeletal Medicine, Sports Medicine
Nuclear Medicine
Nurse
Nurse Anesthetist, Certified Registered
Nurse Practitioner
Obstetrics & Gynecology
Occupational Therapist
Ophthalmology
Optometrist
Orthopaedic Surgery
Orthotist
Otolaryngology
Pain Medicine
Pediatrics
Pharmacist
Pharmacy Tech
Physical Medicine & Rehabilitation
Physical Therapist
Physician Assistant
Plastic Surgery
Podiatrist
Prosthetist
Psychiatry
Psychoanalyst
Psychologist
Radiology
Social Worker
Speech-Language Pathologist
Surgery
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Transplant Surgery
Urology
Other
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What is your sub-specialty?
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Office or Hospital/Clinic/Pharmacy
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Address Line 1
Address Line 2
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City, State, Postal Code
Texas
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County
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Anderson
Andrews
Angelina
Aransas
Archer
Armstrong
Atascosa
Austin
Bailey
Bandera
Bastrop
Baylor
Bee
Bell
Bexar
Blanco
Borden
Bosque
Bowie
Brazoria
Brazos
Brewster
Briscoe
Brooks
Brown
Burleson
Burnet
Caldwell
Calhoun
Callahan
Cameron
Camp
Carson
Cass
Castro
Chambers
Cherokee
Childress
Clay
Cochran
Coke
Coleman
Collin
Collingsworth
Colorado
Comal
Comanche
Concho
Cooke
Coryell
Cottle
Crane
Crockett
Crosby
Culberson
Dallam
Dallas
Dawson
De Witt
Deaf Smith
Delta
Denton
Dickens
Dimmit
Donley
Duval
Eastland
Ector
Edwards
El Paso
Ellis
Erath
Falls
Fannin
Fayette
Fisher
Floyd
Foard
Fort Bend
Franklin
Freestone
Frio
Gaines
Galveston
Garza
Gillespie
Glasscock
Goliad
Gonzales
Gray
Grayson
Gregg
Grimes
Guadalupe
Hale
Hall
Hamilton
Hansford
Hardeman
Hardin
Harris
Harrison
Hartley
Haskell
Hays
Hemphill
Henderson
Hidalgo
Hill
Hockley
Hood
Hopkins
Houston
Howard
Hudspeth
Hunt
Hutchinson
Irion
Jack
Jackson
Jasper
Jeff Davis
Jefferson
Jim Hogg
Jim Wells
Johnson
Jones
Karnes
Kaufman
Kendall
Kenedy
Kent
Kerr
Kimble
King
Kinney
Kleberg
Knox
La Salle
Lamar
Lamb
Lampasas
Lavaca
Lee
Leon
Liberty
Limestone
Lipscomb
Live Oak
Llano
Loving
Lubbock
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Martin
Mason
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Mcculloch
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Mcmullen
Medina
Menard
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Milam
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Mitchell
Montague
Montgomery
Moore
Morris
Motley
Nacogdoches
Navarro
Newton
Nolan
Nueces
Ochiltree
Oldham
Orange
Palo Pinto
Panola
Parker
Parmer
Pecos
Polk
Potter
Presidio
Rains
Randall
Reagan
Real
Red River
Reeves
Refugio
Roberts
Robertson
Rockwall
Runnels
Rusk
Sabine
San Augustine
San Jacinto
San Patricio
San Saba
Schleicher
Scurry
Shackelford
Shelby
Sherman
Smith
Somervell
Starr
Stephens
Sterling
Stonewall
Sutton
Swisher
Tarrant
Taylor
Terrell
Terry
Throckmorton
Titus
Tom Green
Travis
Trinity
Tyler
Upshur
Upton
Uvalde
Val Verde
Van Zandt
Victoria
Walker
Waller
Ward
Washington
Webb
Wharton
Wheeler
Wichita
Wilbarger
Willacy
Williamson
Wilson
Winkler
Wise
Wood
Yoakum
Young
Zapata
Zavala
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Phone
Fax
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How did you hear about us?
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Brochure or Flyer
Conference or Meeting
Texas Health Steps Provider Relations Representative
Residency Program
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