Form 3621 Individual Plan of Care - Community Living Assistance and Support Services (Class) and Community First Choice (Cfc) - Texas

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Form 3621 Individual Plan of Care - Community Living Assistance and Support Services (Class) and Community First Choice (Cfc) - Texas

What Is Form 3621?

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 3621?
A: Form 3621 is the Individual Plan of Care for the Community Living Assistance and Support Services (CLASS) and Community First Choice (CFC) programs in Texas.

Q: What are the CLASS and CFC programs?
A: CLASS and CFC are programs in Texas that provide community living assistance and support services to eligible individuals.

Q: What is the purpose of Form 3621?
A: Form 3621 is used to develop an individualized care plan for participants in the CLASS and CFC programs.

Q: Who completes Form 3621?
A: Form 3621 is completed by a case manager or other authorized person who assesses the participant's needs and develops the care plan.

Q: What information is included in Form 3621?
A: Form 3621 includes information about the participant's medical history, functional limitations, support needs, and goals for community living.

Q: How is Form 3621 used?
A: Form 3621 is used to guide the provision of support and services to the participant, ensuring they receive the appropriate care and assistance.

Q: Can participants and their families provide input on Form 3621?
A: Yes, participants and their families are encouraged to provide input and preferences to ensure the care plan reflects their needs and goals.

Q: Is Form 3621 confidential?
A: Yes, Form 3621 contains confidential personal and medical information that is protected by privacy laws.

Q: What should participants do if they have changes to their care needs?
A: Participants should notify their case manager or program administrator if they experience changes in their care needs or goals.

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Form Details:

  • Released on February 1, 2022;
  • 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 3621 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.

Download Form 3621 Individual Plan of Care - Community Living Assistance and Support Services (Class) and Community First Choice (Cfc) - Texas

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