Texas Health and Human Services Forms

This form is used for obtaining permission to disclose protected health and other confidential information in the state of Texas.

This document is a certification form for emergency medical services in Texas. It is used to verify eligibility for perinatal CHIP services.

This form is used for families participating in the Children's Autism Program in Texas to attest their cost share.

This checklist provides guidance on how to keep your heart and brain healthy in Texas. It includes tips and advice to promote overall wellness and prevent cardiovascular and neurological diseases.

This form is used for requesting a criminal history evaluation for the Licensed Chemical Dependency Counselor Program in Texas.

This form is used for reporting critical congenital heart disease cases in the state of Texas.

This Form is used to notify the Texas Health Care Information Collection (THCIC) when there is no quarterly data to report.

This form is used for applying for an initial or renewal license for the Food Handler Program in Texas.

This Form is used for applying for a minor amendment to a food handler license in the state of Texas.

This document is for the Food Handler Program in Texas. It covers the requirements and training for individuals working with food in the state of Texas.

This form is used for placing a media order in the state of Texas.

This document states the responsibilities of an individual in Texas.

This document is for individuals in Texas who are applying to become a Certified Clinical Supervisor.

This form is used for communication regarding infection control measures between a nursing/personal care/assisted living facility and a dialysis facility in Texas.

This type of document ensures proper communication and coordination of infection control practices between healthcare facilities.

It helps to prevent the spread of infections and protect the health and safety of patients receiving dialysis and residents of nursing/personal care/assisted living facilities.

This Form is used for Simplified Application for Texas Snap (TSAP) Food Benefits in Spanish.

This form is used for the Texas Simplified Application Project (TSAP) for SNAP Food Benefits in Texas. It is an application form for individuals who want to apply for SNAP benefits, also known as food stamps, in Texas.

This form is used for the Children With Special Health Care Needs Services Program Drug Rebate Agreement in Texas. It is a document related to the rebate program for drugs provided to children with special health care needs.