TX HHS Form 3627. Specialized Nursing Certification

The TX HHS Form 3627, Specialized Nursing Certification, is a crucial document that helps establish the need for specialized nursing care for individuals with specific medical requirements. This form is used to certify that a participant in the Deaf Blind with Multiple Disabilities Program meets certain criteria, indicating the need for specialized nursing.

The form requires the participant's name and specifies the necessary criteria for specialized nursing, including the use of a ventilator or the requirement for tracheostomy care at least once a day. The certified registered nurse must sign and date the form to confirm that the participant meets these criteria.

This form is essential for individuals who require specialized nursing care due to their medical conditions. It helps ensure that participants receive the necessary support and services to maintain their health and well-being. By completing this form, healthcare professionals can provide the necessary documentation to justify the need for specialized nursing care, ultimately improving patient outcomes.