TX HHS Form 3110. Surgery and Treatment Recommendations

The TX HHS Form 3110, Surgery and Treatment Recommendations, is a crucial document that helps rehabilitation counselors plan for treatment services. This form is typically completed by physicians and is used in situations where patients require surgical or medical interventions to address reported disabilities.

The form requests specific information from the physician, including patient details, reported disability, reason for referral, and recommended treatment procedures with corresponding CPT codes. The document also asks about pre-operative diagnostic tests required, anticipated ancillary services, and post-operative care. This comprehensive information enables counselors to develop effective rehabilitation plans that cater to individual patients' needs.

Key features of the form include the requirement for physicians to provide detailed information on treatment procedures, including CPT codes and fees. The form also asks about the number of hospital days, blood transfusions needed, and office visits required. By completing this form, physicians can ensure that rehabilitation services are tailored to patients' unique circumstances and needs.

• This form is used in situations where patients require surgical or medical interventions to address reported disabilities.
• Physicians typically complete the form to provide detailed information on treatment procedures and patient care.