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Displaying 1 - 25 of 37 forms.
ES = Spanish version available.
- Form 0003, Authorization to Furnish Information ES
- Form 0006, Service Provider Printed Forms Order ES
- Form 0007, Notification of County Jail Confinement and Release ES
- Form 0009, Notice of Intent – County Jail Reporting ES
- Form 0011, Consent to Transfer to a Texas State Operated Facility ES
- Form 0012, Request for Interstate Transfer ES
- Form 0013, Topic Nomination for Medical and Dental Benefits Consideration ES
- Form 0020, External Entity Information Security Risk Exception Request ES
- Form 0021, External Entity Information Security Plan of Action and Milestone ES
- Form 0065, Information Regarding Authorized Electronic Monitoring for Nursing Facilities ES
- Form 0066, Request for Authorized Electronic Monitoring ES
- Form 0067, Consent by Roommate for Authorized Electronic Monitoring ES
- Form 0402, Potential Privacy/Security Incident ES
- Form 0702, Fax Cover Sheet for TxHmL and HCS ES
- Form H0003, Agreement to Release Your Facts ES
- Form H0004, Consent for a Person Sponsoring an Immigrant ES
- Form H0005, Policy Clarification Request ES
- Form H0010, Application for Advisory Committee Membership ES
- Form H0025, HHSC Application for Voter Registration ES
- Form H0050, Parent Profile Questionnaire ES
- Form H0051, Medicaid Buy-In Premium Payment Notice ES
- Form H0052, Medicaid Buy-In Refund Notice ES
- Form H0053, Medicaid Buy-In Potential Eligibility Notice ES
- Form H0054, Medicaid Buy-In Eligibility Notice ES
- Form H0055, Verification of Long-Term Care Insurance Policies ES
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