TX HHS Form 6104. Freestanding Emergency Medical Care Facility Incident Report
Form 6104 is the official incident reporting document used by freestanding emergency medical care facilities in Texas to report serious, reportable events to state regulators.
TX HHS Form 5498-NATCEP. Nurse Aide Daily Sign-in Sheet
The TX HHS Form 5498-NATCEP, Nurse Aide Daily Sign-in Sheet, is a crucial tool for tracking student attendance and completion of training hours in the Texas Health and Human Services (HHS) Nurse Aide Training and Competency Evaluation Program (NATCEP).
TX HHS Form 5502-MA. Medication Aide Application: Nursing Graduates and Nursing Students
Form 5502-MA is the official application used in Texas by nursing graduates and nursing students who want to obtain a Medication Aide permit through the Health and Human Services Commission (HHSC).
TX HHS Form 5503-MA. Verification of Curriculum by an Accredited School of Nursing
The Form 5503-MA, Medication Aide Program Verification of Curriculum, is used by the Texas Health and Human Services Commission (HHSC) to verify that the courses completed by a medication aide applicant meet the curriculum requirements specified in TAC 557.107(c)(2).
TX HHS Form 5506-NAR. Texas Nurse Aide Registry Employment Verification
Form 5506-NAR is an official employment verification form used by Certified Nurse Aides (CNAs) in Texas to renew their listing on the Texas Nurse Aide Registry.
TX HHS Form 5507-NAR. Request for Waiver of Nurse Aide Training and Competency Evaluation
The TX HHS Form 5507-NAR, Request for Waiver of Nurse Aide Training and Competency Evaluation, is a crucial document that helps individuals who completed a nurse aide training program prior to July 1, 1989, request a waiver from the Texas Nurse Aide Registry.
TX HHS Form 5513-NATCEP. Request to Take the Competency Evaluation Program (CEP) Based on Competency in Basic Nursing Skills as an RN/LVN Student
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.
TX HHS Form 5521-NFA. Complaints
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.
TX HHS Form 5518-NFA. Provisional Licensure Questionnaire
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.
TX HHS Form 5523. Medication Aide Experience Documentation Report
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.