TX HHS Form 3007. Critical Incident Reporting

The TX HHS Form 3007, Critical Incident Reporting, is a crucial tool for reporting and documenting critical incidents that occur in the Adult Mental Health (HCBS-AMH) Program. This form helps providers identify and address potential issues, ensuring the safety and well-being of clients.

This form requires providers to report all known critical incidents within 72 hours of notification. The form asks for specific information about the incident, including type, date, time, location, and a brief description of what happened. Providers must also indicate whether any other individuals were involved in the incident, such as staff, victims, witnesses, or others.

The TX HHS Form 3007 is used to report a range of critical incidents, including property damage, abuse, neglect, or exploitation; death; physical or verbal threats against staff or clients; and medication errors. By completing this form, providers can help ensure that incidents are thoroughly investigated and that necessary actions are taken to prevent similar incidents from occurring in the future.

• This form is used by providers of Adult Mental Health (HCBS-AMH) Program services to report critical incidents.
• Incidents must be reported within 72 hours of notification.
• The form requires specific information about the incident, including type, date, time, location, and a brief description.