The TX HHS Form 5605, Life Safety Code Overview Worksheet, is a practical tool designed to help reviewers determine whether a home meets the requirements of the National Fire Protection Association (NFPA) 101 Life Safety Code (LSC). This worksheet is typically used by reviewers when a home does not have a current inspection from the local fire marshal.
The TX HHS Form 5604, HCS Program Provider Request for Life Safety Inspection, is a crucial document that helps solve the problem of ensuring the safety of residents in homes with life-safety concerns. This form is typically used by HCS program providers to request a life safety inspection for a specific residence.
The TX HHS Form 5535, Reciprocity Licensure Questionnaire, is a crucial document for nursing facility administrators seeking to obtain licensure in the state of Texas. This form helps solve the problem of verifying an applicant's qualifications and experience, ensuring that they meet the necessary requirements for reciprocity licensure.
The TX HHS Form 5534, Medication Aide General Statement Enrollment, is a crucial document for individuals seeking to enroll in the Texas Medication Aide Program. This form helps solve the problem of ensuring applicants provide accurate and complete information necessary for program approval.
The TX HHS Form 5525-NATCEP is a request form for individuals who have completed an approved Nurse Aide Training Program that is currently closed. This program helps solve the problem of allowing these individuals to take the Competency Evaluation Program (CEP) in Texas, as long as they meet specific requirements.
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.
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 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.
