TX HHS Form 8654. State Supported Living Center (SSLC) Admission Application

The TX HHS Form 8654, State Supported Living Center (SSLC) Admission Application, is used to request admission to an SSLC for individuals who require residential services. This form helps solve the problem of determining eligibility for SSLC services and facilitates the application process.

This form has three main sections: Demographic Information, Medical Information, and Financial Information. The Demographic Information section requires basic identifying information about the person, while the Medical Information section requests information about the person's current health status and relevant medical history. The Financial Information section asks for information about the person's family history and current financial status.

The form can be used in various scenarios, including involuntary admission with court commitment, voluntary admission, emergency admission, or respite admission. It is essential to complete all three parts of the application packet, sign it, and attach required documentation before submitting it to [email protected]. If an individual cannot be admitted to the initial SSLC, the completed application will be forwarded to an alternative center.