This government document is issued by Historical Commission (THC) for use in Texas
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https://www.google.com/url?client=internal-element-cse&cx=004905124693252667962:sxyaskemxxg&q=https://www.thc.texas.gov/sites/default/files/2023-12/HTC_Risk_Condition_Assessment_Form.pdf&sa=U&ved=2ahUKEwil6pav77uFAxWE8AIHHQqHB3Q4KBAWegQIAhAB&usg=AOvVaw39bP5s4vV2aHH9fGUpekm2&arm=e