TX HHS Form 3067. Appointment Notice

The TX HHS Form 3067, Appointment Notice, is used to schedule an interview for determining eligibility for assistance through the County Indigent Health Care Program (CIHCP). This form helps solve the problem of verifying applicant information and resources before providing aid.

This appointment notice requires applicants to bring specific documentation to their scheduled interview, including identification, proof of county residence, proof of resources, and proof of household income. Social Security numbers for all household members may also be requested. The form does not specify a particular scenario or condition, but it is likely used when an applicant's eligibility needs to be re-evaluated.

The TX HHS Form 3067 should be used by applicants seeking assistance through the CIHCP and needing to schedule an interview to determine their eligibility. By providing this form, the program ensures that necessary information is gathered before aid can be provided. The full title of the form is "TX HHS Form 3067: Appointment Notice."