Texas Health and Human Services Forms

This form is used for renewing the license of multiple location hospitals in Texas. It applies to both general and special hospitals.

This document is used to select a provider for Home and Community Based Services for Adult Mental Health in Texas. It outlines the criteria and process for selecting a qualified provider.

This document is a supplement that is used with the application for civil monetary penalty funds in the state of Texas. It provides additional information or requirements for the application process.

This document provides a checklist for auditing the medication usage of Clozapine (brand names Clozaril, Fazaclo, and Versacloz) in the state of Texas. It helps ensure proper administration and monitoring of this medication.

This document is a Medication Audit Checklist specifically for Naltrexone, a medication used in Texas. It is used to ensure proper review and management of the medication for patient safety and compliance.

This form is used for obtaining a Certificate of Adoption in the state of Texas. It is used to record and certify the legal adoption of a child.

This Form is used for the Chip Drug Rebate Agreement in the state of Texas. It is a document that outlines the agreement between the state and pharmaceutical companies for rebates on prescription drugs covered under the Children's Health Insurance Program (CHIP).

This Form is used for recording employee compensation and benefits in Texas. It helps employers keep track of wages and benefits provided to their employees.

This Form is used for applying for licensure in Texas through reciprocity.

This Form is used for applying for a name change or a duplicate driver's license in the state of Texas.

This form is used for applying to the Medication Aide Training Program in Texas.

This Form is used for applying to become a licensed sex offender treatment provider supervisor in Texas.

This form is used for requesting approval to withdraw an enrollment offer in the state of Texas.

This Form is used for entering data into the Community Services Interest List (Csil) in Texas.