Form 2464 Rehabilitative Services Request - Texas

Form 2464 Rehabilitative Services Request - Texas

What Is Form 2464?

This is a legal form that was released by the Texas Health and Human Services - a government authority operating within Texas. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form 2464?
A: Form 2464 is a Rehabilitative Services Request form used in Texas.

Q: What is the purpose of Form 2464?
A: The purpose of Form 2464 is to request rehabilitative services in Texas.

Q: Who needs to fill out Form 2464?
A: Form 2464 needs to be filled out by individuals or their legal representatives who are seeking rehabilitative services in Texas.

Q: What information is required on Form 2464?
A: Form 2464 requires information such as personal details, medical history, and the requested rehabilitative services.

Q: What should I do with Form 2464 once it is filled out?
A: Once Form 2464 is filled out, it should be submitted to the appropriate Texas Department of Aging and Disability Services office.

Q: Are there any fees associated with Form 2464?
A: No, there are no fees associated with Form 2464.

Q: What types of rehabilitative services can be requested with Form 2464?
A: Form 2464 can be used to request a variety of rehabilitative services, including physical therapy, occupational therapy, and speech therapy.

Q: Is there a deadline for submitting Form 2464?
A: There is no specific deadline for submitting Form 2464, but it is recommended to submit it as soon as possible to start the process of receiving rehabilitative services.

Q: Can I request multiple rehabilitative services on one Form 2464?
A: Yes, multiple rehabilitative services can be requested on one Form 2464.

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Form Details:

  • Released on November 1, 2010;
  • The latest edition provided by the Texas Health and Human Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form 2464 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.

Download Form 2464 Rehabilitative Services Request - Texas

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  • Form 2464 Rehabilitative Services Request - Texas, Page 1
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