Form H3676 Managed Care Pre-enrollment Assessment Authorization - Texas

What Is Form H3676?

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.

Form Details:

• Released on September 1, 2017;
• 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 H3676 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.