Texas Health and Human Services Forms

This document is a sample Memorandum of Understanding for D-Snap (Disaster Supplemental Nutrition Assistance Program) in-person application sites in Texas. It outlines the agreement between partnering organizations for providing assistance to individuals applying for disaster food benefits.

This document is a sample Memorandum of Understanding and Agreement specific to the Medicaid eligibility of individuals confined in county jails in Texas. It outlines the terms and conditions between entities involved in providing healthcare services and the county jail system.

This document is a checklist for the Certificate of Public Advantage (COPA) application in the state of Texas. It outlines the required documents and steps needed to apply for a COPA.

This document provides a manual for individuals who are participating in an administrator-in-training internship in the state of Texas. It covers the necessary information and guidelines for the internship program.

This form is used for obtaining approval to apply for a specific purpose in the state of Texas.

This Form is used for requesting an amendment to the Individual Response Booklet (IRB2) in Texas.

This form is used for reporting adverse events and unanticipated problems in Texas.

This Form is used for the continuing review or closure of an Institutional Review Board (IRB) study in Texas.

This Form is used for IRB2 Application in the state of Texas.

This form is used for reporting protocol deviations in Texas research studies.

This Form is used for disclosing potential conflicts of interest for individuals in Texas.

This form is used for requesting a Criminal History Evaluation Letter in Texas. It is used to obtain an official evaluation of an individual's criminal history for various purposes such as employment or professional licensure.

This form is used for exempt ESRD facilities in Texas to attest their compliance with the Life Safety Code guidelines.

This Form is used for determining the selection of Community Living Assistance and Support Services (Class) in the Waco/Temple catchment area in Texas.

This Form is used for notifying Medicaid about other events in Texas. It provides instructions for completing the MCO Notification of a Medicaid Other Event Form.

This Form is used for reporting alleged marketing violations in the Medicaid/CHIP Managed Care program in Texas.

This document is a worksheet used in Texas to request permission for renovating or repairing real property. It helps organize information and details about the proposed changes.

This Form is used for obtaining the patient's consent and disclosing information about medical and surgical procedures in the state of Texas.

This document is used for obtaining disclosure and consent from patients in Texas before receiving medical care or surgical procedures.

This document is used for disclosing information and obtaining consent for radiation therapy in the state of Texas.

This document is used for disclosing and obtaining consent for a hysterectomy procedure in the state of Texas. It outlines the risks, benefits, and alternatives of the surgery.

This document is used for disclosing information and obtaining consent for anesthesia and/or pain management during a surgical procedure in Texas.

This document is for disclosing information and obtaining consent for radiotherapy treatment in the state of Texas.

This document provides progress notes for cognitive behavioral therapy in Texas.

This document is an activity schedule for cognitive behavioral therapy in Texas. It outlines the specific activities and exercises to be completed as part of the therapy sessions.

Este tipo de documento es utilizado para evaluar esquemas en el contexto de la terapia cognitivo-conductual en Texas.

This document is for assessing schemas in cognitive behavioral therapy in the state of Texas. It provides guidance and tools for evaluating and understanding thought patterns and beliefs that may impact mental health.

This type of document is a program of activities for Cognitive-Behavioral Therapy in Texas. It is written in Spanish.

This document is a questionnaire used in cognitive behavioral therapy (CBT) to identify automatic thoughts. It is commonly used in Texas.

This document provides an agenda for a session on Cognitive Behavioral Therapy in the state of Texas. It outlines the topics and activities that will be covered during the session.

This document provides information on cognitive behavioral therapy for individuals in Texas who may be experiencing thoughts about suicide. It explores strategies and techniques used to address these thoughts and promote mental well-being.

This document is used for recording and analyzing thoughts in Texas. It provides a structured way to understand and manage emotions, beliefs, and behaviors.

This document is used for documenting the first dental home visit as part of the Texas Health Steps program in Texas.