An official State of Texas website.
The .gov means it’s official.
State and federal government websites often end in .gov. Before sharing sensitive information, make sure you’re on an official government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
LICFIIDPM Forms
The purpose of this section is to make the most current forms available with a single resource. Forms are used to collect information and remain in the handbook until the form is no longer necessary.
ES = Spanish version available.
| Title |
|---|
| Form 1570, ICF Request for Medical Need Assessment or Verification of RUG-III Category |