TX HHS Form 2726. Notification of a Surrogate Consent Committee Hearing

TX HHS Form 2726: Notification of a Surrogate Consent Committee Hearing is used to notify individuals or their representatives of a hearing to review an application for treatment decision by a Surrogate Consent Committee (SCC). This form helps solve the problem of notifying stakeholders about a hearing to determine whether a proposed treatment is necessary and appropriate for an individual who lacks capacity to make personal treatment decisions.

This form requires notification of the hearing date, time, location, and type of treatment requested. The SCC will review written evidence and hear testimony regarding the need for the proposed treatment and provide or withhold consent for the treatment or procedure. Key features include the invitation to attend the hearing and present evidence or testimony personally or through a representative, as well as the right to appeal the decision by filing a petition in probate court.

This form is typically used when an individual residing in an Intermediate Care Facility for Individuals with an Intellectual Disability or Related Conditions has no legal guardian and lacks capacity to make personal treatment decisions. The Texas Health and Human Services Commission's Surrogate Decision Making Program refers such cases to the SCC, which conducts a hearing to determine whether the proposed treatment is necessary and appropriate. If you need directions or have questions about the treatment or procedure requested, please contact the facility representative.