TX HHS Form 1063. Individual Profile Nursing Facility

TX HHS Form 1063. Individual Profile  Nursing Facility

The TX HHS Form 1063, Individual Profile - Nursing Facility, is a crucial document that helps solve the problem of collecting essential information about an individual's needs and circumstances in a nursing facility setting. This form is typically used by Local Intellectual and Developmental Disabilities Authorities (LIDDA) to gather data on individuals with intellectual or developmental disabilities who reside in nursing facilities.

The form requires key information such as the individual's name, date of birth, gender, and contact details. It also asks about their marital status, legal status, and whether they have a conservator or guardianship. Additionally, the form collects data on the individual's language proficiency, ambulation, and any adaptive aids they may require. This information is crucial for healthcare providers to develop personalized care plans and ensure the individual receives the necessary support.

The TX HHS Form 1063 is an essential tool for nursing facilities and LIDDA authorities to better understand the needs of individuals with intellectual or developmental disabilities. By completing this form, healthcare providers can identify potential issues and take proactive steps to address them. Key points to note include:

  • The form is used by LIDDA authorities to collect information on individuals with intellectual or developmental disabilities in nursing facilities.
  • The form requires key information about the individual's needs, circumstances, and contact details.
  • The form helps healthcare providers develop personalized care plans and ensure the individual receives necessary support.
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SourcePage: 
https://www.hhs.texas.gov/regulations/forms/1000-1999/form-1063-individual-profile-nursing-facility