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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 8584-CDS, Comprehensive Nursing Assessment and Plan of Care — HCS Program ES
Form 8579, Notification of Service Coordinator (SC) Disagreement
Form 8576, Individual Profile Information
Form 8495, Exclusion of Host Home/Companion Care (HH/CC) Provider from the Board of Nursing (BON) Definition of Unlicensed Person
Form 8491, Request for a Four-Person Residence Approval
Form 8490, Medical Increase Worksheet
Form 5606, Life Safety Code Certification
Form 5604, HCS Program Provider Request for Life Safety Inspection
Form 4123, Nurse Services Delivery Log - Billable Activities
Form 4122, Host Home/Companion Care Service Delivery Log ES
Form 4121, Home and Community-based Services/Texas Home Living Community First Choice Personal Assistance Services/Habilitation ES
Form 4119, Residential Support Services (RSS) and Supervised Living (SL) Service Delivery Log ES
Form 3608, Individual Plan of Care (IPC) HCS and CFC ES
Form H2067, Case Information
Form 1748, HCS/CFC Entrance Conference
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