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.
Q: What is Form 2406?
A: Form 2406 is a Physician Recommendation for Length of Stay in a Nursing Facility in Texas.
Q: Who needs to fill out Form 2406?
A: A physician needs to fill out Form 2406.
Q: What is the purpose of Form 2406?
A: The purpose of Form 2406 is to provide a physician's recommendation for the length of stay in a nursing facility.
Q: Who is this form for?
A: This form is for individuals who require a stay in a nursing facility in Texas.
Q: Is there a fee to submit Form 2406?
A: No, there is no fee to submit Form 2406.
Q: What information is required on Form 2406?
A: Form 2406 requires information such as the patient's name, medical conditions, recommended length of stay, and physician's signature.
Q: How long is the recommended length of stay on Form 2406 valid?
A: The recommended length of stay on Form 2406 is valid for 120 days.
Q: Can I appeal the recommended length of stay on Form 2406?
A: Yes, you can appeal the recommended length of stay on Form 2406.
Q: Who do I contact if I have questions about Form 2406?
A: You can contact the Texas Health and Human Services Commission if you have questions about Form 2406.
Form Details:
Download a fillable version of Form 2406 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.