TX HHS Form 3682. Day Activity and Health Services Daily Transportation Record

The TX HHS Form 3682, Day Activity and Health Services Daily Transportation Record, is a crucial tool for tracking daily transportation activities and ensuring the well-being of individuals receiving day activity and health services. This form helps solve the problem of monitoring daily transportation needs and responsibilities, providing a clear record of services rendered.

This form requires specific information to be completed, including dates, times, and details about daily transportation activities. The form also outlines conditions for use, such as certification that the information provided is true and correct. Additionally, it highlights the importance of follow-up actions and procedures for ensuring the safety and health of individuals receiving services.

This form is typically used in situations where day activity and health services are being provided to individuals who require daily transportation assistance. The form helps service providers maintain accurate records and ensure compliance with regulations. Key points to note include:

• The form is designed for use by day activity and health services providers.
• It requires certification that the information provided is true and correct.
• It provides a clear record of daily transportation activities and services rendered.