TX HHS Form 3055. Physician's Orders (DAHS)

The TX HHS Form 3055, Physician's Orders for Day Activity and Health Services (DAHS), is a crucial document that helps healthcare professionals provide essential care to adults with chronic medical conditions. This form is used in situations where individuals require ongoing support and services to manage their health needs. Typically, physicians or other authorized healthcare providers fill out this form to outline the necessary orders for DAHS program providers.

The Form 3055 requires specific information, including the individual's personal details, chronic medical diagnoses, and functional limitations related to those diagnoses. The form also allows for special diet instructions, notes, and comments. Key features of this form include the requirement for licensed nursing care, planned activities, hot meals, and transportation services, among others. By completing this form, healthcare providers can ensure that individuals receive the necessary support and care to manage their health effectively.

This form is essential for DAHS program providers to deliver high-quality services to eligible individuals. By understanding the specific needs and requirements outlined in the Form 3055, program providers can develop personalized plans to meet those needs. Some key points to note include:

• The form requires information on the individual's chronic medical diagnoses and functional limitations.
• The form outlines the services that DAHS program providers must have available, including licensed nursing care and transportation.
• The form is used in situations where individuals require ongoing support and services to manage their health needs.