TX HHS Form 3110. Surgery and Treatment Recommendations

TX HHS Form 3110, "Surgery and Treatment Recommendations," is a crucial document used to facilitate rehabilitation services for individuals in need. This form helps healthcare professionals plan and prepare for surgical procedures by providing essential information about the patient's condition, treatment options, and required services.

The form requires key details such as patient information (date of birth, social security number, and reported disability), reason for referral, and recommended treatment procedure(s) with corresponding CPT codes. Healthcare providers must also specify the hospital or facility to be used, estimated blood needed, and anticipated ancillary services. This comprehensive document ensures that all necessary information is gathered to ensure a smooth rehabilitation process.

This form should be completed by physicians and healthcare professionals when referring patients for surgical procedures. It is an essential tool for counselors to plan and coordinate rehabilitation services, making it a vital part of the treatment planning process. By using TX HHS Form 3110, healthcare providers can streamline their workflow, improve patient outcomes, and ensure that all necessary information is captured for effective rehabilitation services.