TX HHS Form 4005. Residential Child Care Licensing Environmental Health Checklist-Kinship
The Residential Child Care Licensing Environmental Health Checklist-Kinship (TX HHS Form 4005) is a crucial tool for foster family homes to ensure compliance with Texas Health and Human Services Commission's health and safety environment evaluation requirements.
TX HHS Form 4008. Informed Consent for Opiate Use Disorder Individuals Seeking Treatment Youths Ages 13 to 18
The TX HHS Form 4008, Informed Consent for Opiate Use Disorder Individuals Seeking Treatment - Youths Ages 13 to 18, is a crucial document that helps solve the problem of obtaining informed consent from youths with opioid/opiate use disorder seeking treatment.
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 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 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 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 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 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 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 4800-D. Fair Hearing Request Summary
The TX HHS Form 4800-D, Fair Hearing Request Summary, is a crucial document for individuals appealing Medicaid-related decisions in Texas. This form helps resolve disputes by providing a summary of the appeal process, outlining the necessary information to facilitate a fair hearing.