TX HHS Form 2700. Application for a Treatment Decision by a Surrogate Consent Committee

TX HHS Form 2700. Application for a Treatment Decision by a Surrogate Consent Committee

The TX HHS Form 2700, Application for a Treatment Decision by a Surrogate Consent Committee, is a crucial document that helps solve the problem of obtaining treatment decisions for individuals with intellectual disabilities or related conditions. This form is typically used in situations where an individual is unable to make their own medical decisions and requires a surrogate consent committee (SCC) hearing.

This application requires specific information, including the individual's name, address, and condition or disease to be treated. The proposed treatment must also be listed, along with the recommended treatment by a physician, dentist, or other professional consultant. Additionally, the form asks for the person's opinion about the proposed treatment and alternatives, as well as any reasons why they are unable to communicate their own preference.

The key features of this form include the required information on the individual's condition, proposed treatment, and recommended treatment by a healthcare professional. The form also highlights the importance of obtaining the individual's opinion or preference about the proposed treatment and alternatives. By using this form, individuals can ensure that they are making informed decisions about their medical care and that their needs are being met.

  • This form is used for non-emergency treatment decisions.
  • A separate application and certification of need form are required for each treatment decision requested.
  • The proposed treatment must be recommended by a healthcare professional, such as a physician or dentist.
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https://www.hhs.texas.gov/regulations/forms/2000-2999/form-2700-application-a-treatment-decision-a-surrogate-consent-committee