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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: Dentists in Texas who want to become certified as a First Dental Home provider need to fill out Form 1091.
Q: What information do I need to provide on Form 1091?
A: Form 1091 requires information about the dentist and their practice, including contact details, dental license information, and the dentist's commitment to providing the First Dental Home program.
Q: Are there any fees associated with Form 1091?
A: No, there are no fees associated with Form 1091.
Q: What is the deadline for submitting Form 1091?
A: There is no specific deadline mentioned, but it is recommended to submit the form as soon as possible.
Q: Who should I contact for more information about Form 1091?
A: For more information about Form 1091 and the First Dental Home Certification program, you can contact the Texas Health and Human Services Oral Health Program.
Form Details:
- Released on March 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 1091 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.
