TX HHS Form 5156. Referral Checklist

The TX HHS Form 5156, Referral Checklist, is a comprehensive tool used to facilitate the referral process for guardianship services. This form helps ensure that all necessary information is gathered and submitted to support the referral of a potential ward.

Key features of this form include the requirement for specific documentation, such as the Contractor's Referral Form (Form 5013), Certificate of Medical Evaluation (CME), or Determination of Intellectual Disability, along with current financial statements. The form also includes sections for comments and signature by the Guardian Supervisor.

This form is typically used in scenarios where a referral is being made for either initial or successor guardianship. It is essential to complete this form accurately and thoroughly to ensure that all necessary information is provided to support the referral process. By using the TX HHS Form 5156, Referral Checklist, individuals can streamline their workflow and efficiently facilitate the referral of potential wards.