TX HHS Form 1126. Physician's Assessment

The Texas Health and Human Services (HHS) Form 1126, Physician's Assessment, is used to determine the appropriateness of a resident's placement in an assisted living facility. This form serves as a tool for healthcare professionals to provide their expert opinion on the resident's ambulation status, ability to transfer independently, mental capacity, and medical condition.

The purpose of this form is to facilitate communication between healthcare providers, assisted living facilities, and the Texas HHS Commission. By completing this form, physicians can provide a comprehensive assessment of a resident's needs, ensuring that they receive the necessary care and support in an appropriate setting. The form must be submitted along with all supporting documentation to the Regulatory Services regional office for review.

This physician-led assessment is crucial in ensuring that residents receive the best possible care. As issued by the Texas HHS Commission, Form 1126 provides a standardized framework for healthcare professionals to evaluate and document their findings. By using this form, healthcare providers can help ensure that residents are placed in settings that meet their unique needs, promoting better health outcomes and quality of life.