Texas Health and Human Services Forms

This form is used for releasing medical information and obtaining a physician's statement in the state of Texas.

This form is used for obtaining a medical release or physician's statement in the state of Texas. It allows individuals to grant permission for their medical records to be released to a designated party or to provide medical information from a healthcare professional.

This form is used for medical release and physician's statement in Texas. It is available in English and Spanish.

This form is used for renewing SNAP (Food Benefits) in Texas. It allows individuals to renew their eligibility for food assistance to ensure continued benefits.

This form is used for physicians in Texas to provide a statement of permanent disability for individuals. It helps in determining eligibility for certain benefits and services.

This form is used for creating a service plan for families affected by domestic violence in Texas. It also includes a report for documenting any valid reasons for not meeting certain program requirements.

This form is used for the authorized representative of a facility in Texas to conduct an interview.

This document is used for renewing food benefits under the SNAP program in Texas. (Spanish)

This form is used as a reminder to submit Form H1852 in the state of Texas.

This form is used for reporting intentional program violations related to the Supplemental Nutrition Assistance Program (SNAP) that occur out-of-state in Texas.

This form is used for reviewing drug and alcohol treatment facilities and group living arrangements in Texas.

This form is used for landlords in Texas to verify tenant information. It is used to collect information about rental history, income, and other relevant details necessary for the tenant application process.

This form is used for making a sworn statement about not receiving or losing food stamps in Texas.

This Form is used to request the Texas Women's Health Program in Texas.

This form is used for transmitting documents via fax in Texas.

This form is used for keeping track of the removal of federal tax information in Texas.

This form is used for applying to the Texas Women's Health Program in Texas.

This form is used for verifying enrollment in a Texas school.

This form is used for documenting the restoration of benefits in Texas.

This form is used for renewing health care benefits in Texas. It is required to ensure continued eligibility for medical coverage.

This form is used for health plan insurance in Texas and is available in both English and Spanish.

This Form is used for conducting a case review in Texas. It is specifically referred to as Form H1970 Ona.

This Form is used for the Needs Assessment Addendum in Texas. It is for individuals applying for medical assistance programs to provide additional information about their needs.

This type of document, titled "Formulario H2060-S Cuestionario De Valocacion De Necesidades Y Guia De Tareas Y Horas - Texas," is a questionnaire used in Texas to assess needs and provide guidance on tasks and hours.

This form is used for Medicaid managed care members in Texas to indicate a gap in enrollment.

This form is used for notifying individuals in Texas about the services offered by the Managed Care Program.

This form is used for documenting the activities performed under the Star+plus Waiver program in Texas.

This Form is used for notifying Texas residents about their eligibility and enrollment in community care services.

Este formulario se utiliza para notificar sobre los servicios de atención en la comunidad en Texas. (Spanish)

This Form is used for providing case information in the state of Texas.