TX HHS Form 6519. Deaf Blind with Multiple Disabilities (DBMD) Record of Completion for General Orientation Training

TX HHS Form 6519. Deaf Blind with Multiple Disabilities (DBMD) Record of Completion for General Orientation Training

The TX HHS Form 6519, Deaf Blind with Multiple Disabilities (DBMD) Record of Completion for General Orientation Training, is a crucial document that helps ensure service providers in Texas have completed the necessary training to work with individuals who are deaf-blind with multiple disabilities

TX HHS Form 6520. Deaf Blind with Multiple Disabilities (DBMD) Record of Completion for the DBMD Program Service Provider Training

TX HHS Form 6520. Deaf Blind with Multiple Disabilities (DBMD) Record of Completion for the DBMD Program Service Provider Training

The TX HHS Form 6520, Deaf Blind with Multiple Disabilities (DBMD) Record of Completion for the DBMD Program Service Provider Training, is a crucial document that helps ensure service providers in Texas have received necessary training to support individuals with deaf-blindness and multiple disab

TX HHS Form 6700. Use and Release of Health Information Authorization

TX HHS Form 6700. Use and Release of Health Information Authorization

Form 6700, “Use and Release of Health Information Authorization,” is a document used in Texas to give the Health and Human Services Commission (HHS) permission to release a person’s Medicaid claims history.

TX HHS Form 7239. Incident or Illness Report

TX HHS Form 7239. Incident or Illness Report

Form 7239 is used by Texas child-care operations to document injuries, the onset of illnesses, and reportable incidents involving a child.

TX HHS Form 7240. Monthly Attendance Record

TX HHS Form 7240. Monthly Attendance Record

Form 7240 is a standardized Monthly Attendance Record used by child-care operations to document each child’s daily presence, absences, holidays, withdrawals, and other attendance-related details.

TX HHS Form 7243. Emergency Telephone Numbers

TX HHS Form 7243. Emergency Telephone Numbers

Form 7243, titled Emergency Telephone Numbers, is a required posting form for certain regulated operations in Texas, including child care and related facilities.

TX HHS Form 7250. Staff Training Record

TX HHS Form 7250. Staff Training Record

The TX HHS Form 7250, Staff Training Record, helps child care providers document their annual training hours and content. This form ensures that all staff members complete the required training, as mandated by their role.

TX HHS Form 7255. Medication Authorization

TX HHS Form 7255. Medication Authorization

Form 7255 is a standardized document used in Texas child-care operations to record the administration of medication to children.

TX HHS Form 7259. Personnel Records Evaluation Child Care Centers

TX HHS Form 7259. Personnel Records Evaluation  Child Care Centers

Form 7259, updated in January 2019, is used by Texas Child Care Licensing (CCL) inspectors to evaluate personnel records during onsite inspections at licensed child care centers.

TX HHS Form 8010. ICF/IID Verification of Delegated Tasks to Unlicensed Personnel and Medication Administration by Unlicensed Personnel (Example Form)

TX HHS Form 8010. ICF/IID Verification of Delegated Tasks to Unlicensed Personnel and Medication Administration by Unlicensed Personnel (Example Form)

The TX HHS Form 8010 is an example form for verifying delegated tasks to unlicensed personnel in Individualized Comprehensive Development (ICF)/Intellectual Disability (ID) settings.