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Form H1051-IME Receipt of Durable Medical Equipment - Texas
What Is Form H1051-IME?
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 H1051-IME?
A: Form H1051-IME is a receipt for reporting durable medical equipment (DME) in Texas.
Q: What is Durable Medical Equipment (DME)?
A: Durable Medical Equipment (DME) refers to medical equipment that is intended for long-term use, such as wheelchairs, crutches, or oxygen equipment.
Q: What is the purpose of Form H1051-IME?
A: The purpose of Form H1051-IME is to document the receipt of durable medical equipment (DME) in Texas.
Q: Who needs to use Form H1051-IME?
A: Any individual or organization that receives durable medical equipment (DME) in Texas should use Form H1051-IME to report the receipt.
Q: What information is required on Form H1051-IME?
A: Form H1051-IME requires information such as the recipient's name, date of receipt, description of the equipment, and the provider's name and signature.
Q: When should Form H1051-IME be completed?
A: Form H1051-IME should be completed at the time of receiving the durable medical equipment (DME) in Texas.
Q: Is there a deadline for submitting Form H1051-IME?
A: There is no specific deadline mentioned for submitting Form H1051-IME, but it should be submitted in a timely manner after receiving the durable medical equipment (DME).
Q: Are there any fees associated with submitting Form H1051-IME?
A: There are no fees mentioned for submitting Form H1051-IME.
Form Details:
- Released on December 1, 2019;
- 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 H1051-IME by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.
