The TX HHS Form 1069, Withdrawal of Offer of Texas Home Living Program, is a crucial document that helps individuals withdraw their offer to enroll in the Texas Home Living (TxHmL) program. This form is typically used when an individual's offer to participate in the TxHmL program has been withdrawn due to non-response or incomplete enrollment process.
The TX HHS Form 1070, Offer of Texas Home Living Program, helps individuals with intellectual or developmental disabilities access life-long services that meet their changing needs. This form is typically used by the Local Intellectual and Developmental Disability Authority (LIDDA) to offer waiver program services to eligible individuals.
The TX HHS Form 1080, Health and Developmental Services (HDS) Promotion and Outreach Annual Plan, helps organizations contracted with the HHSC program plan their promotional activities and outreach strategies for the year. This form is typically used by organizations that contract with the Breast and Cervical Cancer Services (BCCS), Family Planning Program (FPP), Healthy Texas Women Cost Reimbursement (HTW CR) programs.
The TX HHS Form 1084, Certification for Warrants Lost, Destroyed, Stolen, or Not Received, is a crucial document that helps resolve issues related to Treasury warrants. This form is typically used in situations where a warrant has gone missing, been destroyed, stolen, or not received by the intended recipient. The form's primary purpose is to certify the status of the warrant and facilitate its cancellation or reissuance.
The State of Texas Emergency Assistance Registry (STEAR) Form 1085 is a crucial tool for assisted living facilities and nursing homes to register their emergency contact information. This form helps ensure that critical details are readily available in the event of an emergency, allowing for swift communication and response.
The Texas Health and Human Services (HHS) Form 1090, Oral Evaluation and Fluoride Varnish Certification Application, is a crucial document for healthcare providers in the state of Texas. This form helps solve the problem of ensuring that primary care providers are certified to administer fluoride varnish treatments to patients, particularly children, as part of oral health evaluations.
Form 1091, also known as the First Dental Home (FDH) Certification Application, is a crucial document for dental providers participating in the Texas Health Steps program. This form ensures that eligible dentists are certified to provide preventive dental services for children in accordance with state regulations. Submission of this form is mandatory for new applicants seeking FDH certification, while already certified providers do not need to reapply.
Form 1092 is an official affidavit used to document and certify a Change of Ownership (CHOW) for facilities licensed and regulated in the state of Texas. This form is required when operational control of a licensed facility is transferred from one legal entity to another. It ensures that both the outgoing and incoming owners formally acknowledge the transfer, verify the accuracy of the information provided, and meet state licensing requirements. The affidavit must be completed accurately, signed by authorized representatives of both parties, and notarized before submission.
The TX HHS Form 1099 Operational Discipline and Guidance Policy provides essential information for parents, employees, household members, and volunteers to ensure a safe and supportive environment for children. This policy outlines the guidelines for discipline and guidance in various settings, including before- or after-school programs.
The TX HHS Form 1100, Daily Building and Grounds Checklist, is a practical tool designed to help childcare providers ensure the safety and well-being of children in their care. This form helps providers document daily checks of building and grounds conditions, providing a record of compliance with regulations and best practices.
