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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 8557, CLASS/DBMD Corrective Action Plan June 28, 2022
Form 2960, Application for a License to Operate a Residential Child Care Facility June 24, 2022
Form 2247, Interest List Contact Notification ES June 20, 2022
Form 8507, Understanding Program Eligibility - CLASS/DBMD ES 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 8608, Sample Appeal Letter June 1, 2022
Form 2125, Implementation Plan — HCS/TxHmL/CFC June 1, 2022
Form 2463, Emergency Dental Services May 26, 2022
Form 2333, Nursing Facility Risk Criteria Scoring Form May 26, 2022
Form 8619, State Long-Term Care Ombudsman Program Case Record May 26, 2022
Form 8202, HCBS-AMH Program and YES Waiver Program Request for Technology Funding May 10, 2022
Form 8201, HCBS-AMH Recovery Manager Settings Check May 10, 2022
Form 2604, STAR Kids Individual Service Plan – Service Tracking Tool ES May 3, 2022
Form 2327, Individual/Member and Provider Agreement ES May 2, 2022

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