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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 1091
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Form 1091 First Dental Home Certification Application - Texas
What Is Form 1091?
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 1091?
A: Form 1091 is the First Dental Home Certification Application.
Q: What is the purpose of Form 1091?
A: The purpose of Form 1091 is to apply for First Dental Home Certification in Texas.
Q: Who needs to fill out Form 1091?
A: Dental providers who want to become First Dental Home certified in Texas need to fill out Form 1091.
Q: What is First Dental Home Certification?
A: First Dental Home Certification is a program in Texas that encourages early dental visits for children.
Q: Is there a fee for submitting Form 1091?
A: No, there is no fee for submitting Form 1091.
Form Details:
- Released on August 1, 2021;
- 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 1091 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.
