Forms | Texas Health and Human Services
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.
Forms and Documents | Texas Health and Human Services
Involuntary Termination of Consumer Directed Services (CDS) Individual Plan of Care (IPC) Cover Sheet (HCS and TxHmL) 3615: Request to Continue Suspension of Waiver Program Services: 3616: Request for Termination of Services Provided by HCS/TxHmL Waiver Provider: 3617: Request for Transfer of Waiver Program Services: 4116-Dental: Dental Summary ...
Forms | Texas Health and Human Services
Welcome to Texas Health Steps Medicaid! H1188: Common Questions Asked About Texas Health Steps and Your Child's Medicaid: H1190: Ending TANF Five Year Freeze Out Disqualification: H1205: Texas Streamlined Application ES: H1213: Children's Health-Care Benefits: More Facts Needed from the Parent Who Has Custody ES: H1240
Your Texas Benefits
If you are just looking for support services and want to be contacted by programs, you need to create an account. With an account, you will also be able to save your support service screening forms and check the status of any you have already filled out.
Forms | Texas DSHS - Texas Department of State Health Services …
These forms are available in PDF format and are spread across various departments, including the Immunization Unit. These resources cater to your needs within ImmTrac2 department.
Form H1028, Employment Verification - Texas Health and Human Services
Click here for instructions on opening this form. Updated: 7/2022. To provide: An employer-completed verification of employment, wages, mandatory withholdings and deductions. A source for documenting earned income and projecting changes in income when other methods are unavailable or insufficient.
Vital Applications & Forms | Texas DSHS - Texas Department of …
Use these forms for ordering, obtaining, or changing records for or because of adoptions. Use these forms for paternity and parentage issues.
Your Texas Benefits
Download and print the forms you need or ask us to mail them to you.
DFPS - Texas Child Care Licensing (CCL) - Texas Department of …
Child-Care Licensing Division is responsible for protecting the health, safety, and well being of children who attend or reside in regulated child-care facilities and homes. DFPS protects the unprotected - children, elderly, and people with disabilities - from abuse, neglect, and exploitation.
Vaccine Information Statements | Texas DSHS - Texas Department …
You can find how to use VIS and keep records on the CDC's website. If you agree to the vaccine, there's also a form you can use – it comes with each VIS. If you have questions about the reading list or how to order them, call the Immunizations Section at 800-252-9152.