TX HHS Form 1035. PASRR Consent for Use of Audio-Only and Audio-Visual Communication

The TX HHS Form 1035, PASRR Consent for Use of Audio-Only and Audio-Visual Communication, is a crucial document that helps solve the problem of facilitating communication between healthcare professionals and individuals receiving specialized services. This form is typically used in situations where in-person visits are not feasible or practical, such as during preadmission screening and resident review (PASRR) assessments.

The form requires specific information from the individual or their legally authorized representative (LAR), including their name, address, and consent for the use of audio-only or audio-visual communication. Key features of this form include the acknowledgment that refusal to consent will not result in termination of services, as well as the understanding that consent can be withdrawn at any time.

By using this form, individuals or LARs can provide their consent for the use of audio-only or audio-visual communication, which is essential for facilitating effective communication during PASRR assessments. Key points to note include:

• PASRR Consent Form (Form 1035) must be completed and signed by the individual or LAR.
• Consent can be withdrawn at any time by contacting the habilitation coordinator or QMHP-CS.
• A new consent form is required at the next in-person contact if consent is withdrawn.