TX HHS Form 7239. Incident or Illness Report

The TX HHS Form 7239, Incident or Illness Report, is a crucial tool for recording essential information when a child sustains an injury, contracts an illness, or experiences a reportable incident. This form helps operations document all required details to ensure compliance with minimum standards and maintain accurate records.

This comprehensive form covers various scenarios, including injuries requiring medical treatment or hospitalization, incidents that pose a risk of harm, illnesses necessitating hospitalization, and cases of communicable disease transmission. Key sections include General Information, Details of Injury or Incident, and additional fields for recording specific details about the incident, such as the child's full name, date of birth, and caregiver in charge.

The form is designed to guide users through the reporting process, with clear instructions on when to complete each section. For instance, if a child sustains an injury requiring medical treatment or hospitalization, operators should fill out Sections I, II, V, and VI. Similarly, if a communicable disease is contracted, all parents must be notified, as specified in Section IV. By using this form, operations can ensure timely notification of parents and maintain accurate records for regulatory compliance.