TX HHS Form 5523. Medication Aide Experience Documentation Report

The TX HHS Form 5523, Medication Aide Experience Documentation Report, is a crucial tool for documenting an individual's experience as a medication aide in various healthcare facilities. This form helps solve the problem of verifying an applicant's employment history and ensuring that they have gained sufficient experience to work as a medication aide.

This report requires key information from the facility administrator, program director, or director of nursing, including the applicant's name, social security number, place of employment, employer's address, state, ZIP code, employer's area code and phone number, type of facility, job title, type of work performed, and nurse aide certification number (if applicable). The form also includes a section for the facility administrator to certify that the applicant was continuously employed in the facility as a certified nurse aide or unlicensed direct care staff person under the supervision of a licensed nurse.

The TX HHS Form 5523 is typically used when an individual applies for a medication aide position and needs to provide documentation of their experience. This form should be completed by the facility administrator, program director, or director of nursing who can attest to the applicant's employment history and experience as a medication aide.