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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 7239, Incident or Illness Report ES August 5, 2022
Form H2588, Workforce Orientation Referral August 3, 2022
Form 2550, Operational Policy on Infant Safe Sleep ES July 11, 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 2031, Designation of Authorized Individual(s) - Business Entity June 14, 2022
SDPOA, Statutory Durable Power of Attorney ES June 13, 2022
MPOA, Medical Power of Attorney ES June 13, 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
Form 2333, Nursing Facility Risk Criteria Scoring Form May 26, 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
Form 2059, Summary of Client's Need for Service May 2, 2022

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