Texas

Form 5523 (June 2024) is used by the Medication Aide Program to verify an applicant’s employment history and hands-on experience in qualifying health care settings. This document must be completed by the facility administrator, program director, or director of nursing who supervised the applicant. The form serves as official proof that the applicant meets the practical experience requirements needed for medication aide credentialing.

The TX HHS Form 5521-NFA, Complaints, helps resolve issues related to nursing facilities in Texas. This form is used when a complaint arises regarding the administration of a nursing facility. The person reporting the issue (Complainant) typically completes this form.

The TX HHS Form 5518-NFA, Provisional Licensure Questionnaire, is a crucial document for individuals seeking provisional licensure as a Nursing Facility Administrator (NFA) in the state of Texas. This form helps solve the problem of verifying an applicant's education, internship, exam scores, and courses in the four domains of the National Association of Long-Term Care Administrator Boards (NAB). The questionnaire is typically completed by applicants who need to demonstrate their qualifications for provisional licensure.

The TX HHS Form 5513-NATCEP is a request form for RN/LVN students to take the Competency Evaluation Program (CEP) based on their competency in basic nursing skills. This form helps solve the problem of verifying an individual's competence in providing basic nursing care, ensuring they meet the requirements to participate in the CEP.

The TX HHS Form 5512-NATCEP is a request form for individuals who have completed an RN or LVN school in the state of Texas to take the Competency Evaluation Program (CEP). This program helps solve the problem of ensuring that nurse aide students are competent and ready to practice as certified nurse aides. The form is typically used by recent graduates of RN or LVN schools who wish to demonstrate their competence through the CEP.

The TX HHS Form 5511-NATCEP is a request form for individuals who have completed military training equivalent to civilian nurse aide training and wish to take the Competency Evaluation Program (CEP) in Texas. This form helps solve the problem of obtaining approval to take the CEP, which is required for nurse aides seeking certification.

The TX HHS Form 5510-NATCEP is a request form for individuals who have completed nurse aide training out of state to take the Competency Evaluation Program (CEP) in Texas. This form helps solve the problem of allowing trained nurse aides from other states to demonstrate their competence and gain certification in Texas, facilitating their employment and career advancement.

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.