TX HHS Form 5534. Medication Aide General Statement Enrollment

The TX HHS Form 5534, Medication Aide General Statement Enrollment, is a crucial document for individuals seeking to enroll in the Texas Health and Human Services (HHS) Medication Aide Program. This form helps applicants provide essential information about their background, training, and experience, ensuring they meet the program's requirements.

The form requires applicants to complete Section 1, providing details such as name, social security number, email address, and mailing address. Additionally, applicants must submit Form 5523, Medication Aide Experience Documentation Report, which documents 90 days of employment in an assisted living facility or state-supported living center. This report must be completed within the 12-month period before the first official class date.

This form should be used by individuals who want to become medication aides and are required to complete a fingerprint-based criminal history check through the Texas Department of Public Safety (DPS). The applicant must also request a notarized photocopy of their high school graduation diploma or transcript. Failure to complete these requirements may result in denial of the application.