Texas Health and Human Services Forms

Este formulario es utilizado para seleccionar un plan médico en Texas.

This Form is used for making changes to the ownership of a license in the state of Texas.

This form is used for recording Electronic Visit Verification responsibilities and providing additional information in the state of Texas.

This form is used for transmitting federal tax information in Texas.

This form is used for applying for the Texas Home Living Program in Texas. It allows individuals to request assistance and support services for those with disabilities in their homes.

This form is used for withdrawing an offer of the Texas Home Living Program in Texas.

This type of document is used for gathering participant information in Texas.

This form is used for understanding the requirements for a criminal background check in Texas.

This form is used for notifying individuals in Texas about actions taken regarding their Medicaid benefits.

Este formulario es utilizado para notificar sobre una acción requerida para Medicaid en el estado de Texas.

This Form is used for managing remote user security rights and maintaining confidentiality in the state of Texas.

This document is a Facility Security Agreement specific to laboratories, hospitals, providers, and state/local health facilities in Texas. It outlines the security measures and protocols to be followed to ensure the safety and protection of the facility and its occupants.

This form is used for reporting confidential disease information in Texas.

This form is used for reporting initial provider disease information in Texas.

This form is used for submitting a chemistry specimen sample to a laboratory in Texas.