TX HHS Form 4121. Home and Community-based Services/Texas Home Living Community First Choice Personal Assistance Services/Habilitation

TX HHS Form 4121: Home and Community-based Services/Texas Home Living Community First Choice Personal Assistance Services/Habilitation is a crucial tool for recording and reporting personal assistance services provided to individuals. This form helps solve the problem of accurately documenting the provision of habilitation services, which are essential for supporting daily living activities and promoting independence.

The form requires key information such as individual name, local case number, attendant ID, and staff signature, indicating that the services were recorded and completed according to specifications. Important sections include date of service, begin and end times, number of services, and total time spent providing assistance. This form is commonly used in scenarios where personal assistance services are provided on-site or remotely, and it's essential for tracking progress and identifying any incidents, concerns, or special events that may have occurred.

This form is specifically designed for recording habilitation services, which involve supporting individuals with daily living activities such as securing transportation, independent living, and real planning. By using TX HHS Form 4121, service providers can ensure accurate documentation and compliance with regulations, ultimately promoting better care and support for individuals in need of personal assistance.