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Forms

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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.

Search for Forms

ES = Spanish version available.

Title Last updated
Form H2588, Workforce Orientation Referral August 3, 2022
Form 3909, Interpreter Performance Test Application August 2, 2022
3708-A HCS/TxHmL Amelioration Request August 1, 2022
Form 3031, CSHCN Program Application ES July 15, 2022
Form 3093, KHC Travel Claim for Home Dialysis and Kidney Transplant Patients ES July 11, 2022
Form 2550, Operational Policy on Infant Safe Sleep ES July 11, 2022
Form 3255, Fire Safety Survey Report for Hospitals and Crisis Stabilization Units July 5, 2022
Form 2960, Application for a License to Operate a Residential Child Care Facility June 24, 2022
Form 3237, Certified Clinical Supervisor Application June 24, 2022
Form 2247, Interest List Contact Notification ES June 20, 2022
Form 3645, Monthly Medicaid Occupancy Report June 15, 2022
Form 2031, Designation of Authorized Individual(s) - Business Entity June 14, 2022
Form 2097, Provider Contract Assignment Notification ES June 9, 2022
Form 2125, Implementation Plan — HCS/TxHmL/CFC June 1, 2022
Form 2463, Emergency Dental Services May 26, 2022

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