TX HHS Form 1038. Consent for the Use of Audio-Only or Audio-Visual Communication

The TX HHS Form 1038 is a consent form issued by the Texas Health and Human Services (HHS) for individuals receiving service coordination visits from the Local Intellectual and Developmental Disability Authority (LIDDA). The purpose of this form is to obtain informed consent for the use of audio-only or audio-visual communication during these visits.

This consent form is specifically designed for LIDDA service coordination visits required by 26 TAC Chapter 331, Section 331.11(d). It allows individuals to indicate their preference for using either audio-only or audio-visual communication methods, and also provides an option to decline the use of these technologies altogether. The form emphasizes that consent is voluntary and can be withdrawn at any time.

The TX HHS Form 1038 is an essential tool for ensuring that individuals receiving LIDDA services are aware of and agree to the use of audio-only or audio-visual communication methods during service coordination visits. By completing this form, individuals can exercise their right to informed consent and have a say in how they receive these services.