TX HHS Form 3683. Day Activity and Health Services Daily Attendance Record

TX HHS Form 3683. Day Activity and Health Services Daily Attendance Record

The TX HHS Form 3683, Day Activity and Health Services Daily Attendance Record, is a practical tool for tracking daily attendance of clients in day activity and health services. This form helps solve the problem of accurately recording client participation and attendance, which is essential for providing quality care and services.

This form requires the facility representative to record the name of the facility, vendor number, page total, and client information, including date, time, and units of service provided. The form also includes a certification section where the facility representative must sign and date the document, ensuring its accuracy. This form is typically used in day activity and health services settings, such as adult day care centers or home-based care programs.

The TX HHS Form 3683 is an essential tool for facilities providing day activity and health services to clients. By using this form, facilities can ensure accurate attendance records, meet regulatory requirements, and provide better care and services to their clients. Key points to note include:

  • This form is used to track daily attendance of clients in day activity and health services.
  • The facility representative must sign and date the document to certify its accuracy.
  • This form is typically used in adult day care centers or home-based care programs.
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SourcePage: 
https://www.hhs.texas.gov/regulations/forms/3000-3999/form-3683-day-activity-health-services-daily-attendance-record