Texas Health and Human Services

TX HHS Form 2715. Certification of Need for Psychoactive Medication Treatment

TX HHS Form 2715. Certification of Need for Psychoactive Medication Treatment

The TX HHS Form 2715, Certification of Need for Psychoactive Medication Treatment, is a crucial document that helps healthcare professionals certify the need for psychoactive medication treatment. This form is typically used by physicians to provide a detailed diagnosis and proposed course of therapy for patients with psychiatric conditions or maladaptive behaviors.

TX HHS Form 2720. Certification of Need for Highly Restrictive Procedure

TX HHS Form 2720. Certification of Need for Highly Restrictive Procedure

The TX HHS Form 2720, Certification of Need for Highly Restrictive Procedure, is a crucial document that helps address the needs of individuals exhibiting maladaptive behaviors. This form is typically used in situations where previous therapeutic interventions have been ineffective, and a highly restrictive procedure is proposed to address these behaviors.

TX HHS Form 2725. List of Persons to Receive Notification of Surrogate Consent Committee Hearing

TX HHS Form 2725. List of Persons to Receive Notification of Surrogate Consent Committee Hearing

The TX HHS Form 2725, List of Persons to Receive Notification of Surrogate Consent Committee Hearing, is a crucial document that helps facilitate communication and notification in situations where a Surrogate Consent Committee (SCC) hearing is scheduled. This form is typically used when an individual's care and welfare are being managed by a surrogate decision-maker, and it ensures that all relevant parties are informed about the upcoming hearing.

TX HHS Form 2726. Notification of a Surrogate Consent Committee Hearing

TX HHS Form 2726. Notification of a Surrogate Consent Committee Hearing

The TX HHS Form 2726, Notification of a Surrogate Consent Committee Hearing, is a crucial document that facilitates the decision-making process for individuals with intellectual disabilities or related conditions who lack the capacity to make personal treatment decisions. This form is typically used in situations where an individual's treatment needs are being reviewed by a Surrogate Consent Committee (SCC), and it serves as a notification of the hearing date, time, location, and purpose.

TX HHS Form 2727. Waiver of Designation as Surrogate Decision Maker

TX HHS Form 2727. Waiver of Designation as Surrogate Decision Maker

The TX HHS Form 2727, Waiver of Designation as Surrogate Decision Maker, is a crucial document that helps individuals waive their right to serve as a surrogate decision maker for another person. This form is typically used in situations where an individual has been designated by a facility's interdisciplinary team to make decisions on behalf of another person, but they no longer wish to fulfill this role.

TX HHS Form 2749. Submitting an Application Packet for a Treatment Decision

TX HHS Form 2749. Submitting an Application Packet for a Treatment Decision

TX HHS Form 2749, "Submitting an Application Packet for a Treatment Decision," helps individuals or their surrogates request treatment decisions from the Texas Health and Human Services (HHS) Consent Committee. This form is used in situations where medical treatment is required, but the individual lacks capacity to provide informed consent.

TX HHS Form 2750. Surrogate Decision Making Program Data Form

TX HHS Form 2750. Surrogate Decision Making Program Data Form

The TX HHS Form 2750, Surrogate Decision Making Program Data Form, is a crucial tool for Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions (ICF/IID) Representatives. This form helps solve the problem of ensuring that surrogate decision-making arrangements are in place for individuals who lack the capacity to make their own medical decisions. The form is typically used in situations where an individual's healthcare provider needs to determine a surrogate decision maker, and it provides a standardized way to collect essential information.

TX HHS Form 2800. Notice of Denial - Eligibility

TX HHS Form 2800. Notice of Denial - Eligibility

The TX HHS Form 2800, Notice of Denial - Eligibility, is a crucial document that helps resolve issues related to the denial of Youth Empowerment Services (YES) Waiver program benefits for children or adolescents with severe emotional disturbance. This form is typically used in situations where an organization has reviewed eligibility and determined that YES Waiver services are not applicable.