TX HHS Form 3629. Individual Program Plan Addendum

The TX HHS Form 3629, Individual Program Plan Addendum, helps address the needs of individuals participating in Community Living Assistance and Support Services (CLASS) or Community First Choice (CFC). This form is used to document individualized plans and track progress. Typically, participants, caregivers, or healthcare professionals fill out this addendum.

The form requires information about the individual's profile, including a one-page profile with an optional photo. The "A little about myself" section allows individuals to share what people like and admire about them. This section helps create a personalized understanding of the individual's needs and goals. By completing this addendum, participants can ensure their unique requirements are documented and addressed.

• This form is used for enrollment, renewal, or revision of an individual program plan.