TX HHS Form 5541. Corrections Medication Aide Program General Statement Enrollment

The TX HHS Form 5541, "Corrections Medication Aide Program General Statement Enrollment," is a crucial document for individuals seeking to enroll in the Texas Health and Human Services (HHS) Corrections Medication Aide Program. This form helps solve the problem of ensuring that applicants meet the necessary requirements and provide required information to participate in the program.

To complete this form, applicants must provide essential details such as their name, date of birth, social security number, mailing address, and contact information. They must also indicate whether they are able to read, write, speak, and understand English, as well as confirm their age and employment status. Additionally, applicants must submit a certified copy or photocopy of their high school graduation diploma or transcript, and request a fingerprint-based criminal history check from the Texas Department of Public Safety (DPS).

The form also includes important sections that highlight key conditions for enrollment. For instance, applicants must confirm that they are free of contagious diseases and in suitable physical and emotional health to safely administer medications. Furthermore, they must indicate whether they have been convicted of a criminal offense listed in Occupational Code Chapter 53, which applies to an HHS license. By completing this form, applicants can ensure that their application is processed correctly and efficiently.