Texas Health and Human Services

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.

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.

The TX HHS Form 1123, Review of Assisted Living Facility Type C, is a crucial document for ensuring the quality of care provided in Adult Foster Care facilities. This form helps solve the problem of verifying that facility providers meet specific qualifications and responsibilities to ensure the well-being of consumers. The form is typically used during the renewal process of a Type C Assisted Living Facility license.

The TX HHS Form 1124, Facility Request, helps resolve situations where a resident is deemed inappropriately placed in an assisted living facility. This form is used when the facility or Texas Health and Human Services (HHS) determines that a resident's needs are not being met, requiring alternative arrangements.

The TX HHS Form 1125, "Resident's Request to Remain in Facility," is a crucial document for resolving situations where a resident is determined to be inappropriately placed in an assisted living facility. This form helps address concerns by providing a mechanism for the resident or their representative to request continued residency or request assistance in remaining at the facility.

The TX HHS Form 1126, Physician's Assessment, is a crucial document that helps resolve issues related to the placement of residents in assisted living facilities. This form is typically completed by a resident's physician when it has been determined that the individual is inappropriately placed in an assisted living facility.

The TX HHS Form 1127, Fire Marshal/State Fire Marshal Notification, is a crucial document that helps resolve issues related to the inappropriate placement of residents in assisted living facilities. This form is typically used when an assisted living facility or the Texas Health and Human Services Commission (HHSC) determines that a resident does not meet all requirements for evacuation outlined in the Licensing Standards for Assisted Living Facilities.