Texas

TX HHS Form 4208. ECI Services - TKIDS. TRAD. EIS Registry. Extranet and Data Upload Security Agreement

TX HHS Form 4208. ECI Services - TKIDS. TRAD. EIS Registry. Extranet and Data Upload Security Agreement

The TX HHS Form 4208, ECI Services - TKIDS. TRAD. EIS Registry. Extranet and Data Upload Security Agreement, is a crucial document for ensuring the security and integrity of confidential Early Childhood Intervention (ECI) client and administrative data accessed through ECI web-based applications on the Texas Health and Human Services Commission (HHSC) Network.

TX HHS Form 4205. Consent by Foster Parents or Medical Consenters for Health Passport

TX HHS Form 4205. Consent by Foster Parents or Medical Consenters for Health Passport

Form 4205 is a Texas Early Childhood Intervention (ECI) document used to record a foster parent’s or medical consenter’s consent (or refusal) to include certain ECI records in the Texas Health Passport system. This form plays a key role in how health and developmental information about a child in foster care is shared among authorized providers while ensuring confidentiality and compliance with state and federal law.

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TX HHS Form 4201. ECI Surrogate Parent Identification of Need and Assignment

TX HHS Form 4201. ECI Surrogate Parent Identification of Need and Assignment

The TX HHS Form 4201, ECI Surrogate Parent Identification of Need and Assignment, is a crucial document that helps identify the need for a surrogate parent in early childhood intervention (ECI) services. This form is used to verify the necessity of assigning a surrogate parent when a natural parent is unable or unwilling to serve as the child's representative.

TX HHS Form 4123. Nurse Services Delivery Log - Billable Activities

TX HHS Form 4123. Nurse Services Delivery Log - Billable Activities

The TX HHS Form 4123, Nurse Services Delivery Log - Billable Activities, is a practical tool for healthcare professionals to track and document billable activities related to nursing services. This form helps solve the problem of accurately recording and reporting nursing services provided to patients, ensuring compliance with regulatory requirements.

TX HHS Form 4122. Host Home/Companion Care Service Delivery Log

TX HHS Form 4122. Host Home/Companion Care Service Delivery Log

The TX HHS Form 4122, Host Home/Companion Care Service Delivery Log, is a practical tool designed to track and record the delivery of host home and companion care services. This form helps solve the problem of ensuring that essential services are being provided to individuals in need, particularly those who require assistance with daily living activities or have complex medical conditions.

TX HHS Form 4121. Home and Community-based Services/Texas Home Living Community First Choice Personal Assistance Services/Habilitation

TX HHS Form 4121. Home and Community-based Services/Texas Home Living Community First Choice Personal Assistance Services/Habilitation

The TX HHS Form 4121, "Home and Community-based Services/Texas Home Living Community First Choice Personal Assistance Services/Habilitation", is a crucial tool for individuals receiving personal assistance services. This form helps to document the provision of these services, ensuring that all necessary information is recorded and accounted for.

TX HHS Form 4119. Residential Support Services (RSS) and Supervised Living (SL) Service Delivery Log

TX HHS Form 4119. Residential  Support Services (RSS) and Supervised Living (SL) Service Delivery Log

The TX HHS Form 4119, Residential Support Services (RSS) and Supervised Living (SL) Service Delivery Log, is a practical tool for documenting the delivery of support services to individuals receiving RSS or SL services. This form helps solve the problem of tracking and recording the provision of these essential services, ensuring that individuals receive the necessary care and support.