TX HHS Form 5401. Media Release Authorization to Photograph or Record a Resident of a State Supported Living Center (SSLC) or Patient of a State Hospital (SH)
Form 5401 is an official authorization used by Texas Health and Human Services (HHS) to obtain consent for photographing, audio recording, or video recording a resident of a State Supported Living Center (SSLC) or a patient of a State Hospital (SH).
TX HHS Form 5302. WIC General Information Feedback
The TX HHS Form 5302, WIC General Information Feedback, serves as a valuable tool for resolving questions or problems related to the Women, Infants, and Children (WIC) program. This form is typically used by individuals seeking assistance or clarification on various aspects of the program.
TX HHS Form 5301. WIC Director Orientation Training Registration
The TX HHS Form 5301, WIC Director Orientation Training Registration, is a crucial document for ensuring effective communication and planning in the Women, Infants, and Children (WIC) program.
TX HHS Form 5205. Breast and Cervical Diagnostic Procedure Complication Reimbursement Request
The TX HHS Form 5205, Breast and Cervical Diagnostic Procedure Complication Reimbursement Request, is a crucial document for healthcare providers to seek reimbursement for complications arising from breast and cervical diagnostic procedures.
TX HHS Form 5204. Office-based Procedures Performed in an Ambulatory Surgical Center Pre-Authorization Request
The TX HHS Form 5204, Office-based Procedures Performed in an Ambulatory Surgical Center Pre-Authorization Request, is a crucial document for healthcare professionals to complete before performing office-based procedures in an ambulatory surgical center.
TX HHS Form 5106. Youth Prevention Indicated and Youth Prevention Selective Verbal Consent
The TX HHS Form 5106, Youth Prevention Indicated and Youth Prevention Selective Verbal Consent, is a crucial document that helps solve the problem of obtaining parental consent for youth participation in substance abuse prevention programs.
TX HHS Form 5109. Youth Prevention Universal Parent/Guardian Opt-Out Signature
The TX HHS Form 5109, Youth Prevention Universal Parent/Guardian Opt-Out Signature, is a crucial document that helps parents or guardians exercise their right to opt-out of the Select Curriculum program for their youth.
TX HHS Form 5107. Parent/Guardian Consent Signature
The TX HHS Form 5107, Parent/Guardian Consent Signature, is a crucial document that helps solve the problem of obtaining parental consent for youth participation in specific programs.
TX HHS Form 5108. Youth Prevention Universal Family Focused Participation Letter
The TX HHS Form 5108, Youth Prevention Universal Family Focused Participation Letter, is a consent form designed to engage youths and their families in activities that promote healthy communication and strengthen the family unit.
TX HHS Form 5105. Youth Prevention Indicated Program Participation Letter
The TX HHS Form 5105, Youth Prevention Indicated Program Participation Letter, is a vital document that helps solve the problem of ensuring youth participation in prevention programs.