Form 2406 Physician Recommendation for Length of Stay in a Nursing Facility - Texas

Form 2406 Physician Recommendation for Length of Stay in a Nursing Facility - Texas

What Is Form 2406?

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 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.

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Form Details:

  • Released on November 1, 2016;
  • 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 2406 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.

Download Form 2406 Physician Recommendation for Length of Stay in a Nursing Facility - Texas

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