TX HHS Form H3033. Report of Physical or Mental Examination

The TX H3033 Report of Physical or Mental Examination is a crucial document used to determine an individual's eligibility for TANF, medical assistance, or employment services. This form helps healthcare professionals assess the physical or mental condition of applicants, providing essential information for determining disability and ensuring fair access to benefits.

This report requires the examining physician to complete a basic physical examination, including sections on medical history, vision, neck, chest, cardiac status, and various bodily systems such as vascular, gastrointestinal, and genitourinary. The form also asks about any limitations in the field of vision and provides space for noting the prognosis.

The TX H3033 Report of Physical or Mental Examination is designed to be completed by examining physicians and should be used when determining an individual's eligibility for government benefits such as TANF, medical assistance, or employment services. By providing a comprehensive physical examination report, healthcare professionals can help ensure that individuals receive the appropriate support and resources.