Request to Join HILSC's Forensic Evaluator Directory
If you are a fully licensed clinician in the state of Texas with experience conducting Forensic Mental Health Evaluations and are interested in joining HILSC's Forensic Evaluator Directory, please submit this form.

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Clinician's Name: *
What type of license do you have?  (check all that apply) *
Required
Do you have experience working with:                    (Check all that apply) *
Required
Areas of Expertise                                                          (check all that apply) *
Required
Languages with native or professional working proficiency (check all that apply) *
Required
Professional License Number  *
Contact Information
The contact information you choose to share in this form will be publicly displayed in our Forensic Evaluator Directory. (phone number and online links are optional)
E-mail *
Phone Number
Links to professional online platforms or webpages (i.e. Linkedin).
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