Texas Health and Human Services Forms

This form is used for military service members, veterans, or military spouses in Texas to provide additional information.

This letter of reference is used for the PLCO/Council on Sex Offender Treatment in Texas. It is a document that provides a recommendation or evaluation for individuals involved in sex offender treatment programs.

This document is used for making payments to the Council on Sex Offender Treatment in Texas.

This document is an application form used in Texas for individuals seeking specialized competencies for Licensed Sex Offender Treatment Providers (LSOTP).

This form is used to apply for a License-Supervisor of Licensed Sex Offender Treatment Provider (LSOTP Supervisor) in the state of Texas.

This Form is used for changing or duplicating a driver's license in the state of Texas.

This document is for the participants of the Youth Empowerment Services Waiver Providers program in Texas. It contains various participant forms that are required for enrollment and participation in the program.

This type of document is used for attesting to an employee's education about false claims recovery in the state of Texas.

This document provides the non-discrimination compliance policy in Texas in both English and Spanish.

This form is used for requesting informal dispute resolution (IDR) in the state of Texas. IDR is a process to resolve disputes without going to court.

This document is a questionnaire specifically designed for participants attending an Idr Conference in Texas. Participants will need to fill out the questionnaire to provide feedback and answer various conference-related questions.

This form is used for requesting informal dispute resolution (IDR) in Texas for waiver providers.

This form is used for requesting an Independent Informal Dispute Resolution (IIDR) for nursing facilities in Texas.

This type of document is used to request an informal reconsideration in the state of Texas. It allows individuals to appeal a decision or outcome they believe to be incorrect or unfair.

This form is used as a reference for applicants to the Austin State Hospital Medical Laboratory Science Program in Texas.

This document is an application form for the Medical Laboratory Science Program at Austin State Hospital in Texas.

This form is used for reopening visitation status at the hospice inpatient unit in Texas. It requires an attestation of the visitor's status.

This document states the certification of child support in Texas.

This Form is used for requesting family support services and respite care in Texas.

This document is used for requesting family support services for home modifications in Texas. It includes written specifications and approvals for the requested modifications.

This form is used for requesting family support services and training in Texas. It is used to submit family documentation for completed services and training.

This form is used for requesting family support services in Texas. It allows individuals to submit their request for assistance in various areas such as childcare, transportation, and counseling.

This Form is used for requesting support services for families in Texas.

This form is used for requesting vehicle evaluation services related to family support services in Texas.

This Form is used for tracking and recording the number of hours worked by relief service providers for the Family Support Services in Texas.

This form is used for requesting family support services and training in Texas. Providers must submit documentation to verify completion of services.

This document is a checklist form used in Texas for requesting vehicle modifications to support family support services.

This form is used to request family support services in Texas.

This Form is used for requesting family support services and documenting the final inspection report for home modifications in Texas.

This Form is used for requesting home modifications and includes an initial inspection report for Family Support Services in Texas.

This Form is used for changing contact information in the Directed Payment Program in Texas.

This document is used in Texas for screening potential foster homes. It assesses the suitability of individuals or families to provide a safe and nurturing environment for foster children.

This form is used for labeling non-LEB (lower explosive limit) food items under the WIC program in Texas.

This type of document is used for declaring the least expensive brand in the state of Texas.

This form is used for requesting non-standard formulas through the Texas WIC (Women, Infants, and Children) program. It is available in both English and Spanish.

This document provides guidelines and resources for childcare centers in Texas to support breastfeeding mothers in their facilities. It covers the evaluation process and offers tips for creating a supportive environment.

This document is an audit checklist for medications used to treat attention deficit hyperactivity disorder (ADHD) such as Methylphenidate (Ritalin, Concerta), Dextroamphetamine (Dexedrine, Zenzedi), Dextroamphetamine/Amphetamine Mixture (Adderall), Dexmethylphenidate Er (Focalin Xr), and Lisdexamfetamine (Vyvanse). It is specific to the state of Texas.

This document is a medication audit checklist specifically for non-benzodiazepine sedative hypnotics, such as Eszopiclone (Lunesta) and Zolpidem (Ambien), in the state of Texas. It is used to ensure that the appropriate protocols and guidelines are followed when prescribing and monitoring these medications.

This document is a medication audit checklist specifically for the medication Clomipramine (brand name Anafranil) in the state of Texas. It is used to ensure compliance with medication management protocols.