TX HHS Form 3647. Assisted Living Disclosure Statement

The TX HHS Form 3647, Assisted Living Disclosure Statement, is a crucial tool for empowering individuals making informed decisions about their care. This form helps solve the problem of inconsistent information about assisted living facilities by providing a uniform format for describing policies and services.

This disclosure statement requires facilities to provide specific information about their services, including average number of residents, address, and contact details. Facilities must also complete additional forms if they offer memory care or Alzheimer's disease-related services. The form emphasizes the importance of transparency, encouraging facilities to attach an addendum to expand on their answers if necessary.

Key features of this form include the requirement for facilities to provide copies of applicable disclosure statements to anyone requesting information about their facility. Facilities must also register complaints about assisted living facilities with Texas Health and Human Services Commission at 800-458-9858. By using this form, individuals can make informed decisions about their care by comparing facilities and services in a consistent manner.

• This form is used to provide uniform information about assisted living facilities' policies and services.
• Facilities must complete additional forms if they offer memory care or Alzheimer's disease-related services.
• The form emphasizes transparency, encouraging facilities to attach an addendum to expand on their answers if necessary.