PDF
Word
Form 8611 Pre-enrollment Mhm Authorization Request - Texas
What Is Form 8611?
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 8611?A: Form 8611 is a Pre-enrollment MHM Authorization Request form in Texas.
Q: What is the purpose of Form 8611?A: The purpose of Form 8611 is to request authorization for mental health services.
Q: Who needs to complete Form 8611?A: Any individual seeking mental health services in Texas may need to complete Form 8611.
Q: Is Form 8611 specific to Texas?A: Yes, Form 8611 is specific to the state of Texas.
Q: What information is required on Form 8611?A: Form 8611 requires information such as personal details, insurance information, and the reason for seeking mental health services.
Form Details:
- Released on November 1, 2015;
- 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;
- Fill out the form in our online filing application.
Download a fillable version of Form 8611 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.
