TX HHS Form 6519. Deaf Blind with Multiple Disabilities (DBMD) Record of Completion for General Orientation Training

The TX HHS Form 6519, "Deaf Blind with Multiple Disabilities (DBMD) Record of Completion for General Orientation Training", is a crucial document that helps ensure service providers in the DBMD program have completed essential training. This form serves as proof of completion and certification, allowing service providers to assume job duties and maintain their certifications annually.

This form requires the service provider's name, type (e.g., Case Manager, Intervener), and a record of completion for general orientation training. The form also includes sections on Abuse, Neglect, and Exploitation (ANE) training, Cardiopulmonary Resuscitation (CPR) and Choking Prevention certification, and computer-based training requirements. Service providers must complete the general orientation curriculum, which covers topics such as rights of a person, confidentiality, program provider's complaint process, and DBMD program and CFC requirements.

This form is typically used when a service provider completes their initial or annual general orientation training. The trainer's signature confirms that they have provided the training, while the service provider's signature verifies their completion of the training. The form also includes verification of CPR and Choking Prevention certification dates to ensure current certification.