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This version of the form is not currently in use and is provided for reference only. Download this version of
Form 1325
for the current year.
Form 1325 Synagis Standard Pa Addendum (Cshcn) - Texas
What Is Form 1325?
This is a legal form that was released by the Texas Health and Human Services - a government authority operating within Texas. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form 1325 Synagis Standard Pa Addendum?
A: Form 1325 Synagis Standard Pa Addendum is a form used in Texas for the Children with Special Health Care Needs (CSHCN) program for the administration of Synagis medication.
Q: What is Synagis medication used for?
A: Synagis medication is used to prevent severe respiratory syncytial virus (RSV) disease in high-risk infants and children.
Q: Who is eligible for the CSHCN program in Texas?
A: Children with chronic medical conditions or disabilities who meet the program's financial and medical eligibility criteria are eligible for the CSHCN program in Texas.
Q: What is the purpose of the Standard Pa Addendum?
A: The Standard Pa Addendum is used to provide additional information and documentation required for the authorization of Synagis medication through the CSHCN program.
Form Details:
- Released on August 1, 2019;
- The latest edition provided by the Texas Health and Human Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form 1325 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.
Download Form 1325 Synagis Standard Pa Addendum (Cshcn) - Texas
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