Texas Health and Human Services Forms

This form is used for authorizing the administration of medication in the state of Texas.

This form is used for screening risk and protective factors in Texas. It helps identify potential risks and protective factors that could impact individuals or communities.

This form is used for conducting a random sample review of nursing on-call and ensuring the required submission of documentation in the state of Texas.

This form is used for understanding program eligibility for Class/Dbmd in Texas. It provides information on how to determine if an individual qualifies for these programs.

This Form is used for excluding Host Home/Companion Care (Hh/Cc) providers from the Board of Nursing (Bon) definition of an unlicensed person in Texas.

This form is used for RN delegation and care instructions for assistive personnel in Texas for patients with nursing special needs in ICF/IID facilities.

This form is used for tracking tasks delegated to unlicensed personnel in the state of Texas.

This Form is used for understanding program eligibility and services in Texas.

This Form is used for Servicios Y Requisitos De Los Programas - Texas (Spanish).

This form is used for assessing the habilitation needs of individuals with intellectual and developmental disabilities in Texas. It helps determine the level of support and services needed for each individual.

This Form is used for collecting and recording individual profile information in the state of Texas.

This form is used for requesting a variance of supported employment employer requirements in Texas.

This form is used for the administration of medications by unlicensed personnel in the state of Texas. It helps ensure safe and proper medication management for individuals who do not have a medical license.

This form is used for notifying the local authority in Texas about a reassignment.

This form is used for submitting a Corrective Action Plan in the state of Texas. It is a document that outlines the steps and measures to be taken to address and resolve a specific issue or problem.

This Form is used for notifying service coordinator (Sc) disagreement in Texas.

This form is used to provide contact information for the HCS and TxHmL programs in Texas. It is used to collect necessary information for program enrollment and communication purposes.

This form is used for assessing intellectual disability or related conditions in the state of Texas. It helps to determine eligibility for certain programs and services.

This form is used for nursing supervision of unlicensed assistive personnel (UAP) in the state of Texas.

This form is used for completing the Rn Delegation Worksheet for 22 Tac Chapter 225 in Texas. It helps healthcare professionals accurately delegate tasks to registered nurses.

This form is used for nursing special needs in Texas and provides instructions for RN delegation and care for assistive personnel.

This form is used for comprehensive nursing assessment and plan of care for the HCS Program in Texas. It helps in evaluating and developing care plans for individuals requiring nursing services.

This document is used for submitting an Individual Plan of Care (IPC) in Texas. It serves as a cover sheet for Form 8599.

This Form is used for coordinating services in Texas.

This Form is used for reporting non-waiver services provided in the state of Texas.

This type of document is a form used in Texas for reviewing or increasing the Level of Need (Lon) for Form 8603.

This Form is used for documenting the completion of a purchase in Texas.

This Form is used for verifying an individual's freedom of choice in Texas. It is often required for certain legal and administrative purposes.

This Form is used for an Individual Program Plan (IPP) in Texas.