Skip to main content

Texas flag An official State of Texas website.

Here's how you know.

  • Apply for Benefits
  • A-Z Index
  • Connect
  • Español
  • Subscribe
  • Survey

Dot gov

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.

Https

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.

Texas Health and Human Services Home Texas Health and Human Services
  • Home
    • Search Services
    • Aging
    • Disability
    • Disaster Assistance
    • Financial
    • Food
    • Health
    • Mental Health & Substance Use
    • Questions About Your Benefits
    • Safety
    • Your Rights
    • Search Providers
    • Assistive Services Providers
    • Behavioral Health Services Providers
    • County Jail Reporting
    • Health Care Facilities Regulation
    • Health Services Providers
    • Long-term Care Providers
    • Medicaid Business Resources
    • Protective Services Providers
    • Social Services Providers
    • Provider Training
    • WIC Providers
    • Search Business
    • Contracting with HHS
    • Electronic Benefit Transfer Program
    • Grants
    • Licensing, Credentialing & Regulation
    • Open Enrollment Opportunities
    • Search Regulations
    • Forms
    • Handbooks
    • Legal Information
    • Policies and Rules
    • Reports and Presentations
    • Search About
    • Budget & Planning
    • Community Engagement
    • Contact Us
    • Jobs at HHS
    • Leadership
    • Live & Archived Meetings
    • Meetings & Events
    • Process Improvement
    • Records & Statistics
    • Strategic Plans
    • Vision & Mission
  • Newsroom
  • Contact

Breadcrumb

  1. Home
  2. Search Regulations
  3. Forms
  • English
  • Español

Forms

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
Form 7239, Incident or Illness Report ES
Form 4003, Foster Family Home Capacity Exception
Form 4103, Vendor Invoice Summary
Form 4116-MHM-AA, Minor Home Modification and Adaptive Aids Summary Sheet
Form 4116, Authorization for Expenditures
Form H4803, Notice of Hearing ES
Form 4211, Respite Funding Agreement ES
Directive to Physicians and Family or Surrogates (Living Will) ES
Out-of-Hospital Do-Not-Resuscitate (OOH-DNR) Order ES
Form 4207, Individualized Family Service Plan (IFSP) Services ES
Form H4806, Request for Another Appointment — Request to Withdraw
Form H4800-A, Fair Hearing Request Summary (Addendum)
Form H4800, Fair Hearing Request Summary
Form H4800-ADH, Request for Administrative Disqualification Hearing
Form 4801, State Fair Hearing Evidence Packet Cover Page ES

Pagination

  • Current page 1
  • Page 2
  • Page 3
  • Page 4
  • Page 5
  • Next page Next ›
  • Last page Last »

Filter by Series

  • 0 - 999 (37)
  • 1000 - 1999 (427)
  • 2000 - 2999 (206)
  • 3000 - 3999 (305)
  • (-) 4000 - 4999 (55)
  • 5000 - 5999 (113)
  • 6000 - 6999 (37)
  • (-) 7000 - 7999 (15)
  • 8000 - 8999 (105)
  • (-) Advance Directives (5)
  • Miscellaneous (11)
  • 211 Texas
  • Apply for Benefits
  • Compact with Texans
  • Department of State Health Services
  • Email Encryption
  • File Viewing
  • HHS Printing Services
  • Jobs at HHS
  • Notice of Privacy Practices
  • Report Fraud, Waste or Abuse
  • Statewide Search
  • Texas.gov
  • Texas Homeland Security
  • Texas Veterans Portal
  • Website Policy
  • Website Help

© Copyright 2016-2023. Texas Health & Human Services Commission. All rights reserved.

Facebook Instagram LinkedIn Twitter YouTube