Texas Health and Human Services Forms

1390
total templates

Documents

1390

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

Rate (4 / 5) 21 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.

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

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

Form 2324 "First Level Appeal of Provider Investigation Finding" - Texas

Rate (4.8 / 5) 15 votes
Size: 111 KB
1 page

Form 2349 "Second Level Appeal of Provider Investigation Finding" - Texas

Rate (4.8 / 5) 10 votes
Size: 112 KB
1 page

Form 2948 "Plan of Operation for Licensed Center and Home Operations" - Texas

Rate (4.3 / 5) 6 votes
Size: 120 KB
5 pages

Form 2910 "Application for a License or Certification to Operate a Child Day Care Facility" - Texas

Rate (4.3 / 5) 6 votes
Size: 124 KB
5 pages

Form 8493 "Notification Regarding a Death in Home and Community-Based Services (Hcs), Texas Home Living (Txhml) and Deaf Blind With Multiple Disabilities (Dbmd) Programs" - Texas

Rate (4.4 / 5) 22 votes
Size: 114 KB
1 page

Form 8494 "Notification Regarding an Investigation of Abuse, Neglect or Exploitation" - Texas

Rate (4.3 / 5) 20 votes
Size: 87 KB
1 page

Form 2071 "Home-Delivered Meals Report of Older Americans Act (Oaa) Nutrition Services Incentive Program (Nsip) Eligible Meals" - Texas

Rate (4.7 / 5) 7 votes
Size: 111 KB
1 page

Form H1276 "Burial Fund Designation Worksheet" - Texas

Rate (4.7 / 5) 28 votes
Size: 116 KB
2 pages

Form 5611 "Personnel Checklist" - Texas

Rate (4.7 / 5) 20 votes
Size: 84 KB
2 pages

Form 5607 "Review of Dfps Reports and Ane Trends" - Texas

Rate (4.7 / 5) 11 votes
Size: 91 KB
2 pages

Form 3214 "Chemical Dependency Treatment Facility Satellite Site Notification" - Texas

Rate (4.5 / 5) 15 votes
Size: 112 KB
1 page

Form 5004 "Optional Covid-19 Chip Provider Co-payment Attestation" - Texas

Rate (4.6 / 5) 19 votes
Size: 109 KB
1 page

Form 3221 "Health Care Facility Certification Under Executive Order Ga-15" - Texas

Rate (4.7 / 5) 52 votes
Size: 128 KB
1 page

Form 2802 "Youth Empowerment Services (Yes) Notice of Participant Rights and Responsibilities" - Texas

Rate (4.8 / 5) 60 votes
Size: 103 KB
3 pages

Form 7264 "Attestation of Child Day Care for Protective Day Care - Child Care Regulation" - Texas

Rate (4.4 / 5) 29 votes
Size: 110 KB
1 page

Form 7265 "Attestation of Child Day Care for Essential Workers - Child Care Regulation" - Texas

Rate (4.5 / 5) 23 votes
Size: 111 KB
1 page

Form 1354 "Pcsk9 Inhibitors Authorization Request (Medicaid Fee-For-Service)" - Texas

Rate (4.7 / 5) 16 votes
Size: 120 KB
3 pages

Form 2840 "Temporary Emergency Child Care Operation Application" - Texas

Rate (4.5 / 5) 10 votes
Size: 105 KB
2 pages

Form 1355 "Pcsk9 Inhibitors Standard Pa Addendum (Medicaid Fee-For-Service)" - Texas

Rate (4.3 / 5) 30 votes
Size: 83 KB
1 page

Form 1341 "Pharmacy Enrollment Agreement" - Texas

Rate (4.7 / 5) 30 votes
Size: 134 KB
10 pages

Form 2820 "Educational Facility Request for Exemption From Child Care Regulation" - Texas

Rate (4.6 / 5) 5 votes
Size: 120 KB
3 pages

Form 2040 "Consumer Managed Personal Attendant Services (Cmpas) Co-pay Worksheet" - Texas

Rate (4.8 / 5) 13 votes
Size: 1 MB
6 pages

Form 3057 "Kidney Health Care Program Physician Assessment" - Texas

Rate (4.3 / 5) 8 votes
Size: 61 KB
1 page

Form 2358 "Habilitation Coordination Authorization Request" - Texas

Rate (4.8 / 5) 8 votes
Size: 76 KB
1 page

Form 5916 "Applicant/Contractor Screening Criteria" - Texas

Rate (4.7 / 5) 20 votes
Size: 103 KB
6 pages

Form 2842 "Temporary Emergency Child Care Operation - Plan of Operation" - Texas

Rate (4.8 / 5) 25 votes
Size: 105 KB
2 pages

Form 1402 "Value-Based Agreement Concept" - Texas

Rate (4.5 / 5) 23 votes
Size: 117 KB
3 pages

Form 3220 "Covid-19 Response off-Site Facility Application" - Texas

Rate (4.6 / 5) 48 votes
Size: 114 KB
2 pages

Form 3219 "Multiple Location Psychiatric Hospital License Renewal Application" - Texas

Rate (4.5 / 5) 35 votes
Size: 116 KB
2 pages

Form 2032 "Escheatment of Consumer Funds" - Texas

Rate (4.4 / 5) 70 votes
Size: 116 KB
2 pages

Form 3210 "Ambulatory Surgical Center License Application" - Texas

Rate (4.3 / 5) 7 votes
Size: 123 KB
4 pages

Form 2833 "Single Skills Program During Summer Request for Exemption From Child Care Regulation" - Texas

Rate (4.3 / 5) 17 votes
Size: 120 KB
4 pages

Form 1344 "Managed Care Resources Update Request" - Texas

Rate (4.8 / 5) 14 votes
Size: 113 KB
1 page

Form 3834 "Written Acknowledgement of Completion of Cybersecurity Training Program" - Texas

Rate (4.3 / 5) 28 votes
Size: 109 KB
1 page

Form 2031 "Designation of Authorized Individual(S) - Business Entity" - Texas

Rate (4.4 / 5) 12 votes
Size: 80 KB
1 page

Form 2601 "Physician Certification" - Texas

Rate (4.5 / 5) 15 votes
Size: 201 KB
1 page

Form 6102 "Community Mental Health Center Facility Incident Report" - Texas

Rate (4.5 / 5) 49 votes
Size: 117 KB
2 pages

Form 3251 "Daily Census Record" - Texas

Rate (4.8 / 5) 53 votes
Size: 96 KB
1 page