TX HHS Form 2720. Certification of Need for Highly Restrictive Procedure

The TX HHS Form 2720, Certification of Need for Highly Restrictive Procedure, is a document used to certify the need for highly restrictive procedures in treating individuals. This form should be completed by a psychiatrist, psychologist, psychological associate, or Board Certified Behavior Analyst (BCBA) and submitted when programmatic intervention is necessary.

The form requires information about the practitioner, including their name, office address, phone number, and fax number. It also asks for details on the individual being treated, such as previous therapeutic interventions attempted and reasons why they were ineffective. The proposed highly restrictive procedure must be described, along with a statement indicating whether the plan was developed by the practitioner or an employer.

This form is essential when treating individuals who exhibit maladaptive behaviors that require programmatic intervention. It helps ensure that the necessary procedures are implemented to address these behaviors effectively. The TX HHS Form 2720 should be used whenever a highly restrictive procedure is proposed as part of a treatment plan for an individual.