TX HHS Form 2059-W. Summary of Individual's Need for Service Worksheet

The TX HHS Form 2059-W, Summary of Individual's Need for Service Worksheet, is a crucial tool used by Texas Health and Human Services (HHS) to assess the needs of individuals requiring service. This form helps identify functional limitations caused by medical conditions, as well as challenges faced in daily living.

The form is designed to gather information about an individual's home environment, including its condition, accessibility, and any specific problems that impact service delivery. Additionally, it collects data on the individual's living arrangement, household/caregivers, and common tasks being purchased or performed. This comprehensive approach enables HHS to better understand the unique needs of each individual and provide targeted services.

The TX HHS Form 2059-W is an essential tool for service providers and caregivers, allowing them to identify limitations and develop effective strategies for meeting the individual's needs. By understanding the individual's medical conditions, home environment, and living arrangement, service providers can deliver more personalized support, ultimately improving the quality of life for those they serve.