TX HHS Form 3161. Consumer Demographic Information

TX HHS Form 3161, "Consumer Demographic Information," is a reporting tool used by Centers for Independent Living to track consumer demographic information and services provided. This form helps solve the problem of monitoring and tracking consumer data and service delivery over time.

The form requires reporting on various categories of consumers, including those with plans or waivers, as well as providing information on services provided, such as rehabilitation technology services, transportation services, and relocation from nursing homes to community-based living. The "Number of cases closed this month" section allows for tracking of consumer outcomes.

This form should be used by Centers for Independent Living to report consumer demographic information and service delivery data on a monthly basis. It is an important tool for monitoring and evaluating the effectiveness of independent living services and programs, as well as identifying trends and areas for improvement.