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 4116. Authorization for Expenditures
The TX HHS Form 4116, Authorization for Expenditures, is a crucial document that facilitates the payment process for goods or services purchased by government agencies.
TX HHS Form 4116-DME. ICF/IID Durable Medical Equipment Summary Sheet
The TX HHS Form 4116-DME, ICF/IID Durable Medical Equipment Summary Sheet, is a practical tool designed to help track and manage durable medical equipment (DME) for individuals with intellectual or developmental disabilities.
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.
TX HHS Form 4121. Home and Community-based Services/Texas Home Living Community First Choice Personal Assistance Services/Habilitation
The TX HHS Form 4121, "Home and Community-based Services/Texas Home Living Community First Choice Personal Assistance Services/Habilitation", is a crucial tool for individuals receiving personal assistance services.
TX HHS Form 4103. Vendor Invoice Summary
The TX HHS Form 4103, Vendor Invoice Summary, helps vendors summarize their invoices for submission to the Texas Health and Human Services (HHS). This form is typically used by vendors who need to provide a summary of their invoices to HHS.