TX HHS Form 4700. Request for Records of Texas Health and Human Services
The TX HHS Form 4700, Request for Records of Texas Health and Human Services, is a crucial tool for individuals seeking access to records maintained by the agency. This form helps solve the problem of requesting information from the agency in accordance with the Texas Public Information Law.
TX HHS Form 4214. Request for Non-Emergency Medical Transportation (NEMT) Services
The TX HHS Form 4214, Request for Non-Emergency Medical Transportation (NEMT) Services, helps individuals who require medical or dental appointments to access transportation services.
TX HHS Form 4211. Respite Funding Agreement
The TX HHS Form 4211, Respite Funding Agreement, is a crucial document for families seeking respite care services for their children enrolled in the Early Childhood Intervention (ECI) program.
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.
TX HHS Form 4207. Individualized Family Service Plan (IFSP) Services
The Individualized Family Service Plan (IFSP) Services Form 4207 is a crucial tool for early childhood intervention services in Texas.
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.
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.
TX HHS Form 4123. Nurse Services Delivery Log - Billable Activities
Form 4123, titled Nursing Services Delivery Log – Billable Activities, is an official documentation form used in Texas for individuals receiving nursing services under the Home and Community-based Services (HCS) and Texas Home Living (TxHmL) prog
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.
TX HHS Form 4116-Dental. Dental Summary Sheet
The TX HHS Form 4116-Dental, also known as the Dental Summary Sheet, is a crucial document for tracking dental services provided to clients.