Form 1091 First Dental Home Certification Application - Texas

Notification Icon This version of the form is not currently in use and is provided for reference only. Download this version of Form 1091 for the current year.

Form 1091 First Dental Home Certification Application - Texas

What Is Form 1091?

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 1091?
A: Form 1091 is the First Dental Home Certification Application.

Q: What is the purpose of Form 1091?
A: The purpose of Form 1091 is to apply for First Dental Home Certification in Texas.

Q: Who needs to fill out Form 1091?
A: Dental providers who want to become certified as a First Dental Home in Texas need to fill out Form 1091.

Q: What information do I need to provide on Form 1091?
A: You will need to provide your personal information, dental practice details, and submit the required supporting documents.

Q: Is there a fee to submit Form 1091?
A: Yes, there is a fee associated with the submission of Form 1091. The fee amount may vary and should be confirmed with the Texas Health and Human Services Commission.

Q: How long does it take to process Form 1091?
A: The processing time for Form 1091 may vary. It is recommended to check with the Texas Health and Human Services Commission for the most up-to-date information.

Q: What is the deadline for submitting Form 1091?
A: The deadline for submitting Form 1091 may vary. It is important to check the specific instructions provided by the Texas Health and Human Services Commission.

ADVERTISEMENT

Form Details:

  • Released on August 1, 2020;
  • 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 1091 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.

Download Form 1091 First Dental Home Certification Application - Texas

4.5 of 5 (14 votes)
  • Form 1091 First Dental Home Certification Application - Texas, Page 1
ADVERTISEMENT

Related Documents