TX HHS Form 5535. Reciprocity Licensure Questionnaire

The TX HHS Form 5535, Reciprocity Licensure Questionnaire, is a crucial document for nursing facility administrators seeking to obtain licensure in the state of Texas. This form helps solve the problem of verifying an applicant's qualifications and experience, ensuring that they meet the necessary requirements for reciprocity licensure.

The questionnaire requires applicants to provide essential information about their background, education, and employment history. Key features include the need to submit proof of education, internship scores, and exam results if the issuing state is unable to verify these items. Applicants must also indicate whether they have management experience and, if so, provide a resume with the form. Additionally, the questionnaire asks for information about the applicant's current licensure status in their home state and the basis for that licensure.

The TX HHS Form 5535 is typically completed by nursing facility administrators seeking to obtain licensure in Texas through reciprocity. The form must be submitted to [email protected], along with any required supporting documents. Key points and requirements include:

• Applicants must provide proof of education, internship scores, and exam results if the issuing state is unable to verify these items.
• Applicants with management experience may qualify for a 500-hour internship rather than a 1,000-hour internship.
• A resume must be included with the form if the applicant wishes to qualify for a Texas license with a 500-hour internship and management experience.