DOEP Registration Link

  • Thank you for filling out the information below for the Drug Offender Education Program at Texas Counseling & Education. Please call or text office at 262-434-0076 during business hours (10am-4pm M-F) once you have submitted this form. Payment must be made within 24 hours of signing up or will be discharged.

     

    Class Schedule: 

    Friday 6 PM - 9 PM

    Saturday & Sunday 9 AM - 12 PM 

    Monday & Tuesday 6 PM - 9 PM

     

    There will be a pretest and post test emailed to you. The pretest must be completed on FRIDAY and post test must be completed on TUESDAY. This is the same test. The state requires us to test the knowledge gained. All paperwork needs to be turned in before your certificate can be sent to you.

    ·         Must stay on camera during class and attend all five days to receive certificate.

    ·         The first hour is spent making sure all paperwork is turned in.

    ·         Must stay in one spot and focus your attention on the class. Absolutely no driving or riding in any moving car. You must be alone to protect everyone's privacy. ABSOLUTELY NO DRIVING

    ·         All comments and discussions should be respectful towards each other and stay in group,

    ·         Be mindful of background noise and distractions as much as possible.

    ·         You will be discharged unsuccessfully if not following guidelines.

    ·         Zoom link will be sent the first day of class at 5:30pm. Must be signed in at 6pm on Zoom or in class. You will not be allowed in if you are more than ten minutes late for the first class or more than five minutes late for the rest of the classes.

    ·         Please text or call our office at 262-434-0076 if you do not have email for zoom at 5:30pm. Please check spam first.

    ·         PAYMENT IS DUE WITHIN 24 HOURS OF REGISTRATION.

     You can find the payment link in the confirmation email. 

    Certificates need to be picked up in 10 days of class completion.

    If you are not familiar with Zoom's basic features, please attend class in person. 

    Class has a limited capacity, you may be enrolled in the next available class if the class you've picked is full.

  • What date would you like to register for? There is a limit of 30 people for class. If the class is not full yet, you can join. Please call our office to make sure you can join the class listed below.
  • Format: (000) 000-0000.
  • Have you had Substance Abuse Evaluation with us?
  • Date of Birth
     - -

  • How many dependents live with you? Children? Adults?

  • Highest grade of schooling completed?
  • Ethnicity
  • Marital Status

  • How many times has your license been:
    Suspended      
    Revoked      
    Business purpose only      

  • Prior to the arrest, was your license
              y      

  • Your age when:      
    Began drug activities       
    Began drinking activities      
    Were arrested for the first offence     
    Were arrested for the first drug-related offence       

  • Have you ever thought you had a drug problem?
  • Have you ever thought you might have a drinking problem?
  • have you ever received help from (check all that apply)
  • Where do you usually use drugs?

  • CONSENT FOR THE RELEASE OF CONFIDENTIAL INFORMATION
    I, ___{fullName3}_______________ authorize
    Texas counseling
    to disclose to (name of participant) (name of the program)
    Collin county community corrections
    (name of the person or organization to which disclosure is to be made)
    The purpose of the disclosure authorized in this is to:
    Inform the following information: Attendance, participation, evaluation and
    referral
    I understand that all Offender Education Programs shall abide by an obtain any consent to disclosure required by application Federal and State
    laws regarding confidentiality of patient/client records including, as applicable and without limitation, 42 United States Code 290dd
    -
    2; 42 Code of Federal Regulations, Part 2, and Health and Safety
    Code, Chapter 611. I understand my records cannot be disclosed
    without my written consent unless otherwise provided for by the regulations. I also understand that I may revoke this consent in writing at any time except to the extent that actions have been taken in response to it, and that in any event, this consent expires automatically as follows


  • CONSENT FOR THE RELEASE OF CONFIDENTIAL INFORMATION
    I, _____{fullName3}_____________ authorize
    Texas counseling/GW services
    to disclose to
    (name of participant) (name of the program)
    The Department of State Health Services
    (name of the person or organization to which disclosure is to be made)
    The purpose of the disclosure authorized in this is to:
    Inform the following information: Attendance, participation, evaluation and
    referral
    I understand that all Offender Education Programs shall abide by an obtain any consent to disclosure required by application Federal and State laws regarding confidentiality of patient/client records including, as applicable and without limitation, 42 United States Code 290dd
    -
    2; 42 Code of Federal Regulations, Part 2,
    and Health and Safety
    Code, Chapter 611. I understand my records cannot be disclosed without my
    written consent unless otherwise provided for by the regulations. I also understand that I may revoke this consent in writing at any time except to the extent that actions have been taken in response to it, and that in any event, this consent expires automatically as follows.
    _____________________________________________________________
    Specification
    of the date, event, or condition upon which this consent expires


  • TEXAS DRUG OFFENDER EDUCATION PROGRAM.
    Notice for unsuccessful discharges from the Drug Offender Education Program

    You must attend all five consecutive days for the program to get your certificate. 

    If you are discharged unsuccessfully from the program, you may return for one of the next two scheduled DOEP program and pay $50 for the 15 hour program.

    If you do not return for one of the next two scheduled DOEP classes, you will be required to pay the full amount of $90 upon admission to the DOEP class.


    If you exhibit inappropriate behavior or any behavior deemed hostile you will not be able to return to the TCE clinic and there will be no refund.

    MUST ATTEND ALL FIVE DAYS IN SAME SESSION. 

    ZOOM LINK WILL BE SENT AT 5PM ON DAY OF CLASS.

  • Should be Empty: