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 3209, Chemical Dependency Treatment Facility Licensure Application Checklist for Change in Status Applicants
Form 3208, Chemical Dependency Treatment Facility Licensure Application Checklist for Initial Applicants
Form 1015, LMHA PASRR Specialized Services Discussion Checklist
Form 3650, Assisted Living Facility Memory Care Disclosure Statement
Form 3261, Licensed Chemical Dependency Counselor Intern Direct Observation Documentation
Form 3263, Crisis Stabilization Unit License Application
Form 3651, Memory Care Disclosure Statement for Nursing Facilities
Form 3258, Licensed Chemical Dependency Counselor Program Peer Assistance Program Access Attestation
Form 3257, Licensed Chemical Dependency Counselor Peer Assistance Program Application
Form 3647, Assisted Living Disclosure Statement
Form 3641-A, Alzheimer's Disclosure Statement for Nursing Facilities
Form 3641, Alzheimer's Assisted Living Disclosure Statement
Form 3947, Specialized Telecommunications Assistance Program (STAP) Request for New Authorized Equipment
Form 8203, Subcontractor Attestation Form
Form 8204, Subcontractor Credentialing Attestation Form
  • First
  • Previous
  • …
  • 66
  • 67
  • 68
  • 69
  • Currently on page 70
  • 71
  • 72
  • 73
  • 74
  • …
  • 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