The TX HHS Form 5507-NAR, Request for Waiver of Nurse Aide Training and Competency Evaluation, is a crucial document that helps individuals who completed a nurse aide training program prior to July 1, 1989, request a waiver from the Texas Nurse Aide Registry. This form is typically used by those who have already completed a training program and are seeking to be placed on the registry.
Form 5506-NAR is an official employment verification form used by Certified Nurse Aides (CNAs) in Texas to renew their listing on the Texas Nurse Aide Registry. The form documents recent employment, required training, and compliance with eligibility rules so that the Health and Human Services Commission (HHSC) can confirm that the nurse aide remains qualified to work in long-term care and related settings.
The Form 5503-MA, Medication Aide Program Verification of Curriculum, is used by the Texas Health and Human Services Commission (HHSC) to verify that the courses completed by a medication aide applicant meet the curriculum requirements specified in TAC 557.107(c)(2). This form ensures that applicants have received proper training from an accredited school of nursing before they can practice as a medication aide in Texas.
Form 5502-MA is the official application used in Texas by nursing graduates and nursing students who want to obtain a Medication Aide permit through the Health and Human Services Commission (HHSC). This form allows eligible applicants to seek authorization to administer medications in licensed nursing facilities or intellectual disability facilities while they are not yet licensed as professional or vocational nurses.
The TX HHS Form 5498-NATCEP, Nurse Aide Daily Sign-in Sheet, is a crucial tool for tracking student attendance and completion of training hours in the Texas Health and Human Services (HHS) Nurse Aide Training and Competency Evaluation Program (NATCEP). This form helps ensure that students meet the program's requirements and instructors can accurately monitor progress.
The Texas Nurse Aide Performance Record (Form 5497-NATCEP) is a key document used within the Nurse Aide Training and Competency Evaluation Program (NATCEP). This form records the performance of nurse aide trainees across a range of essential skills, ensuring compliance with state standards for healthcare personnel.
The Ten Day Facility Observation Form 5406 is a crucial tool for ensuring the quality of long-term care facilities in Texas. This form helps surveyors complete their basic training program by observing the operations of an unrelated facility for at least 10 working days within a 14-day period, as required by Senate Bill 1839.
The TX HHS Form 5405, Life Safety Code Facility Observation Program, is a comprehensive checklist designed to help newly hired Regulatory Services surveyors conduct thorough observations of long-term care facilities. This form provides a framework for identifying potential areas of concern and ensuring compliance with life safety codes.
Form 5403 is an authorization form used by Texas Health and Human Services (HHS) to obtain written consent from a volunteer or service recipient to be photographed, audio recorded, or video recorded. The form documents an individual’s permission for HHS to use these materials for specific program-related purposes such as education, training, and public information.
This form is designed to protect individual rights while allowing HHS programs to responsibly document and share their activities.
The TX HHS Form 5404, Facility Observation Program, is a checklist designed to help newly hired Regulatory Services surveyors conduct comprehensive observations of long-term care facilities. This form provides a framework for identifying key areas of focus, ensuring that all aspects of facility operations are evaluated.
