TX HHS Form 3089. HCBS-AMH Complaint

The TX HHS Form 3089, HCBS-AMH Complaint, is a tool used to report concerns or issues related to Adult Mental Health (HCBS-AMH) services in Texas. This form helps individuals or entities identify and document complaints, which can include abuse, neglect, exploitation, or other service-related issues.

The form requires complainants to provide specific information about themselves and the subject of the complaint, including name, title, phone number, and relationship to the individual or entity being complained about. The form also includes three key sections: Step One, which outlines the nature of the complaint; Step Two, where the complainant describes the issue in detail; and Step Three, where at least three actions taken by the complainant to resolve the issue are listed.

This form should be used whenever a concern or issue arises related to HCBS-AMH services in Texas. It is an important tool for ensuring that individuals receive the necessary support and care, and for identifying areas where service providers may need to improve their practices. By using Form 3089, complainants can help ensure that issues are addressed promptly and effectively.