Texas Health and Human Services Forms

This form is used for revoking the appointment of a designated representative in the state of Texas.

This form is used for receiving notification of the conclusions of an investigation in Texas.

This form is used for the Financial Management Services Agency (FMSA) in Texas. It is a fax cover sheet for the first consumer.

This Form is used for relationship definitions in Consumer Directed Services Employer's Acknowledgement and Certification in Texas.

This form is used for acknowledging liability in Texas.

This Form is used for receiving notifications about the findings of an investigation conducted in the state of Texas.

This form is used for requesting employer phone numbers for Electronic Visit Verification (EVV) in Texas.

This form is used for managing and training service providers in the state of Texas.

This form is used for the management and training of service providers in Texas. It is an addendum to Form 1732-EMR.

This Form is used for employers and employees in Texas to acknowledge exemption from nursing licensure for certain services delivered through consumer directed services.

This document is used for employers in Texas to establish a service agreement with a financial management services agency. It outlines the terms and conditions of the agreement between the employer and the agency.

This Form is used for adding provisions to the Service Provision Requirements for Personal Care Services (PCS) in Texas by the Health and Human Services Commission (HHSC).

This form is used for adding additional service provision requirements to the Community Living Assistance and Support Services (CLASS) in Texas.

This type of document is used for providing support and assistance services for living in the community, specifically in Texas. It contains the requirements for accessing these services.

This type of document is an appendix that outlines the requirements for receiving Community First Choice (CFC) services in Texas. It is used by individuals who are applying for or receiving CFC services.

This form is used to provide information about the requirements for home and community-based services program in Texas.

This Form is used for establishing a Service Provider Agreement in Texas. It outlines the terms and conditions for services provided by a service provider.

This form is used for creating an agreement between an employer and employee in the state of Texas. It outlines the terms and conditions of the employment relationship.

This form is used for creating a Corrective Action Plan for the Consumer Directed Services program in Texas.