TX HHS Form 3691. Service Area Designation

The TX HHS Form 3691, Service Area Designation, is used to designate a specific geographic area for service provision. This form helps solve the problem of identifying and defining areas that require specific services or resources.

This form requires information about the counties that fall within each designated region. The text lists the counties by service region, with Region 4 being one example. Important sections include the list of counties, which are organized by region. This form should be used when determining the scope and boundaries of a service area or identifying areas that require targeted services.

The key feature of this form is its organization by service region, providing a clear and structured way to identify and designate specific geographic areas for service provision. The text does not mention any conditions explicitly, but it can be inferred that the form should be used in situations where service area designation is necessary or when determining the scope of services required.