Texas Health and Human Services Forms

1633
total templates

Documents

1633

Form H1003 "Appointment of an Authorized Representative to Allow Another Person to Act for You" - Texas

Rate (5 / 5) 1 votes
Size: 99 KB
1 page

This form may be used in the state of Texas when individuals would like to let another person legally act for them in certain situations.

Form 5506-NAR "Texas Nurse Aide Registry Employment Verification" - Texas

Rate (4 / 5) 23 votes
Size: 84 KB
2 pages

This form is used and needs to be completed by a nurse aide and their employer to verify employment. To remain on active status and to provide services in nursing facilities, nurse aides have to do such verifications at least every two years.

Form G-2V "Virology Specimen Submission Form" - Texas

Rate (4.6 / 5) 18 votes
Size: 1 MB
1 page

Form HRG-83 "Ssn Maintenance Memorandum" - Texas

Rate (4.7 / 5) 14 votes
Size: 192 KB
2 pages

Form VS-115 "Report of Death" - Texas

Rate (4.7 / 5) 17 votes
Size: 99 KB
1 page

Instructions for Form 325 "Primary Health Care Annual Reporting Form" - Texas

Rate (4.5 / 5) 10 votes
Size: 296 KB
5 pages

Form 3932 "Camp Sign Application for Counselors" - Texas

Rate (4.8 / 5) 55 votes
Size: 284 KB
3 pages

Form 3926 "Change of Disability" - Texas

Rate (4.7 / 5) 53 votes
Size: 202 KB
2 pages

Form 7239 "Incident or Illness Report" - Texas

Rate (4.5 / 5) 34 votes
Size: 123 KB
2 pages

Form 1403 "Electronic Certificate of Information (Ecoi) Portal Access" - Texas

Rate (4.4 / 5) 35 votes
Size: 116 KB
1 page

Form 2803 "Critical Incident Report" - Texas

Rate (4.4 / 5) 40 votes
Size: 125 KB
4 pages

Form 4211 "Respite Funding Agreement" - Texas

Rate (4.4 / 5) 41 votes
Size: 113 KB
1 page

Form 1070 "Offer of Texas Home Living Program" - Texas

Rate (4.8 / 5) 27 votes
Size: 112 KB
1 page

Form 1069 "Withdrawal of Offer of Texas Home Living Program" - Texas

Rate (4.3 / 5) 18 votes
Size: 115 KB
1 page

Form 3224 "Freestanding Emergency Medical Care Facility License Renewal Application" - Texas

Rate (4.8 / 5) 24 votes
Size: 115 KB
2 pages

Form 4116 "Authorization for Expenditures" - Texas

Rate (4.6 / 5) 36 votes
Size: 171 KB
1 page

Form 8516 "Electronic Visit Verification Responsibilities and Additional Information" - Texas

Rate (4.8 / 5) 21 votes
Size: 111 KB
2 pages

Form H1862 "Federal Tax Information Transmittal Memorandum" - Texas

Rate (4.3 / 5) 12 votes
Size: 290 KB
1 page

Form 3947 "Specialized Telecommunications Assistance Program (Stap) Request for New Authorized Equipment" - Texas

Rate (4.4 / 5) 12 votes
Size: 112 KB
2 pages

Form 1718 "Responsibilities and Additional Information (Managed Care Organization)" - Texas

Rate (4.5 / 5) 38 votes
Size: 2 MB
4 pages

Form 2604 "Star Kids Individual Service Plan - Service Tracking Tool" - Texas

Rate (4.8 / 5) 26 votes
Size: 112 KB
1 page

Form 1342 "Antiviral Agents for Hepatitis C Virus Initial Request - Standard Pa Addendum (Medicaid)" - Texas

Rate (4.3 / 5) 41 votes
Size: 130 KB
6 pages

Form H1019 "Report of Change" - Texas

Rate (4.6 / 5) 83 votes
Size: 112 KB
3 pages

Form 8626 "Media Release - Authorization to Photograph or Record a Resident of a Nursing or Assisted Living Facility - State Long-Term Care Ombudsman Program" - Texas

Rate (4.7 / 5) 18 votes
Size: 111 KB
2 pages

Form 2060 "Needs Assessment Questionnaire and Task/Hour Guide" - Texas

Rate (4.6 / 5) 35 votes
Size: 143 KB
5 pages

Form H1120 "Medical Bills Transmittal" - Texas

Rate (4.4 / 5) 24 votes
Size: 1 MB
2 pages

Form 2603 "Star Kids Individual Service Plan (Isp) Narrative" - Texas

Rate (4.4 / 5) 37 votes
Size: 195 KB
8 pages

Form 2040 "Cmpas Co-pay Worksheet" - Texas

Rate (4.6 / 5) 7 votes
Size: 126 KB
6 pages

Form 3223 "Licensed Chemical Dependency Counselor, Counselor Intern and Council on Sex Offender Treatment Complaint" - Texas

Rate (4.4 / 5) 32 votes
Size: 115 KB
2 pages

Form H1861 "Federal Tax Information Record Keeping and Destruction Log" - Texas

Rate (4.5 / 5) 36 votes
Size: 116 KB
1 page

Formulario 2060 "Cuestionario De Valoracion De Necesidades Y Guia De Tareas Y Horas" - Texas (Spanish)

Rate (4.6 / 5) 11 votes
Size: 147 KB
5 pages

Form H1094 "Notice of TANF-State Program Time Limit" - Texas

Rate (4.3 / 5) 24 votes
Size: 110 KB
1 page

Form 3031 "Children With Special Health Care Needs (Cshcn) Program Application" - Texas

Rate (4.5 / 5) 31 votes
Size: 160 KB
12 pages

Form 1580 "Texas Money Follows the Person Demonstration (Mfpd) Project Informed Consent for Participation" - Texas

Rate (4.4 / 5) 32 votes
Size: 113 KB
1 page

Form 5534 "General Statement Enrollment" - Texas

Rate (4.6 / 5) 32 votes
Size: 117 KB
2 pages

Form 1092 "Change of Ownership Transfer Affidavit" - Texas

Rate (4.6 / 5) 14 votes
Size: 114 KB
1 page

Form 1598 "Retainer Payment Attestation" - Texas

Rate (4.7 / 5) 19 votes
Size: 110 KB
1 page

Form 2821 "Electronic Visit Verification Responsibilities and Additional Information" - Texas

Rate (4.3 / 5) 12 votes
Size: 111 KB
1 page

Form 3230 "Application to Treat Eligible Patients at Their Residence Under the Centers for Medicare and Medicaid Services Acute Hospital Care at Home Program in Response to Covid-19" - Texas

Rate (4.4 / 5) 18 votes
Size: 112 KB
1 page

Form 3900 "Application for Certificate of Deafness for Tuition Waiver" - Texas

Rate (4.5 / 5) 39 votes
Size: 116 KB
2 pages