Form EF05-14455 Critical Congenital Heart Disease Reporting Form - Texas

What Is Form EF05-14455?

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 EF05-14455 form?
A: EF05-14455 is the Critical Congenital Heart Disease Reporting Form in Texas.

Q: What is the purpose of the EF05-14455 form?
A: The purpose of EF05-14455 form is to report cases of critical congenital heart disease in Texas.

Q: Who needs to fill out the EF05-14455 form?
A: Healthcare providers are responsible for filling out the EF05-14455 form.

Q: What is critical congenital heart disease?
A: Critical congenital heart disease refers to a group of serious heart defects that are present from birth and require immediate medical attention.

Q: Why is it important to report critical congenital heart disease cases?
A: Reporting critical congenital heart disease cases helps in monitoring and improving the management and outcomes of affected infants.

Q: How often should the EF05-14455 form be submitted?
A: The EF05-14455 form should be submitted within 30 days of the diagnosis of critical congenital heart disease.

Q: Are there any fees associated with submitting the EF05-14455 form?
A: There are no fees associated with submitting the EF05-14455 form.

Q: Can the EF05-14455 form be submitted electronically?
A: Yes, the EF05-14455 form can be submitted electronically through the Texas Electronic Registrar (TER) system.

Q: Who should I contact for assistance or questions regarding the EF05-14455 form?
A: For assistance or questions regarding the EF05-14455 form, you can contact the Texas Department of State Health Services.