Texas Health and Human Services

State of Texas

Official Website: https://www.hhs.texas.gov/

Forms & Documents

Browse all Texas Health and Human Services government forms

181 - 200 of 366 forms

Form Title Topics
Form 3629, Individual Program Plan Addendum
Form 3641-A, Alzheimer's Disclosure Statement for Nursing Facilities
Form 3641, Alzheimer's Assisted Living Disclosure Statement
Form 3647, Assisted Living Disclosure Statement
Form 3649, Assisted Living Facility Background Disclosure Statement for Applicants for Employment
Form 3650, Assisted Living Facility Memory Care Disclosure Statement
Form 3651, Memory Care Disclosure Statement for Nursing Facilities
Form 3681-C, Community Services Contract Application Addendum C - Emergency Response Services
Form 3683, Day Activity and Health Services Daily Attendance Record
Form 3691-A, Service Area Designation HCS, TxHmL, CDS and TAS
Form 3691, Service Area Designation
Form 3706, Nursing Facility Customized Power Wheelchair (CPWC) Authorization
Form 3708-A, HCS/TxHmL Amelioration Request
Form 3708, Regulatory Services NF, ALF and ICF/IID Amelioration Request
Form 3709, Medicaid Bed Waiver Application for Nursing Facilities
Form 3713, Consent for Antipsychotic or Neuroleptic Medication Treatment
Form 3726, Notification of Adverse Change in Financial Condition
Form 3736, Application for State License to Operate a Type C Assisted Living Facility
Form 3853, Contract Evaluation Summary
Form 3900, Application for Certificate of Deafness for Tuition Waiver

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