TX HHS Form 3100. Information Regarding Authorized Electronic Monitoring for Assisted Living Facility

TX HHS Form 3100: Information Regarding Authorized Electronic Monitoring for Assisted Living Facilities is a crucial document that helps solve the problem of requesting authorized electronic monitoring (AEM) in assisted living facilities. This form should be used when a resident or their guardian/ legal representative needs to conduct AEM under Chapter 242 and 247 of the Health and Safety Code.

The key feature of this form is the requirement for the resident, guardian, or legal representative to complete the Request for Authorized Electronic Monitoring form and obtain consent from other residents sharing the room. The form must then be submitted to the facility manager or designee. This process ensures that AEM is conducted in a responsible and respectful manner.

This form is particularly useful in scenarios where a resident requires AEM, such as monitoring vital signs or tracking daily activities. The form's conditions include the need for the resident's physician to determine capacity to request AEM, and the identification of a legal representative if the resident lacks capacity. By completing this form, residents, guardians, or legal representatives can ensure that their needs are met while maintaining the dignity and privacy of all individuals involved.