Skip to main content
Skip to right sidebar content
This is the new HHS Forms and Handbooks website. Please update your bookmarks.
Visit Texas Health and Human Services An official Texas Health and Human Services website.
  • HHS Providers Home
Forms and Handbooks
  • Forms
  • Handbooks
  • Advance Directives
  1. Home
  2. Forms

Forms

HHS forms are used every day to perform tasks such as applying for benefits, contracting to provide goods or services, reporting incidents, declaring end of life wishes, and conducting other business.

ES = Spanish version available.

Title
Form 8494, Notification Regarding an Investigation of Abuse, Neglect or Exploitation
Form 8493, Notification Regarding a Death in HCS, TxHmL and DBMD Programs
Form 8492, Random Sample Review of Nursing On-Call Required Submission of Documentation
Form 5842, TxHmL Financial Eligibility Information
Form 4118, Respite Service Delivery Log
Form 4117, Supported Employment/Employment Assistance Service Delivery Log
Form 4116-Dental, Dental Summary Sheet
Form 3617, Request for Transfer of Waiver Program Services
Form 3616, Request for Termination of Services Provided by HCS/TxHmL Waiver Provider
Form 3615, Request to Continue Suspension of Waiver Program Services
Form 3611, Involuntary Termination of Consumer Directed Services IPC Cover Sheet
Form 3610, Informal Review Request
Form 1744, TxHmL/CFC Entrance Conference
Form 1742, Service Backup Plan for HCS, TxHmL and CFC Services
Form 1592, RN Delegation Checklist
  • First
  • Previous
  • …
  • 34
  • 35
  • 36
  • 37
  • Currently on page 38
  • 39
  • 40
  • 41
  • 42
  • …
  • Next
  • Last

Filter by Series

  • Compact with Texans
  • File Viewing
  • Notice of Privacy Practices
  • Report Fraud, Waste or Abuse
  • Statewide Search
  • Texas.gov
  • Texas Homeland Security
  • Texas Veterans Portal
  • Website Policy

© Copyright 2016-2026. Texas Health and Human Services Commission. All rights reserved.

Back to top