TX HHS Form 8619. State Long-Term Care Ombudsman Program Case Record

The TX HHS Form 8619, State Long-Term Care Ombudsman Program Case Record, is a confidential document used to record and track cases involving long-term care ombudsmen in Texas. This form helps solve the problem of documenting resident complaints and concerns, ensuring that necessary actions are taken to address these issues.

The form requires important information such as intake date, first action date, closed date, and a summary of the issue. It also asks about anonymity requests, consent to work on behalf of the resident, and whether consent was obtained to review records. The form is typically used when a complaint or concern arises regarding a long-term care facility or services provided.

This form is an essential tool for the State Long-Term Care Ombudsman Program in Texas, providing a standardized way to document cases and track progress. By using this form, ombudsmen can ensure that all necessary information is collected and recorded, allowing them to effectively address resident concerns and improve long-term care services.