Texas aging and disability forms

    • [DOC File]Texas Department of Human Services

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      Texas Department of Aging and Disability Services Form 3643. November 1996 Discipline Month and Year of Service PT OT ST nursing restorative care program SECTION I – PLAN OF CARE Goals Date Restorative Initiated 1. ... Texas Department of Human Services ...

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    • [DOC File]Resources - Texas

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      Dec 18, 2007 · Department of Aging and Disability Services (512) 438-3011. Advance Health Care Directives (512) 458-7261. Texas Medical Association, Durable Power of Attorney for Health Care . The Legal Hotline for Older Texans (800) 622-2520. Housing. Texas Workforce Commission, Housing Discrimination (888) 452-4778. Texas Department of Housing and Community ...

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    • [DOC File]Texas Department of Human Services - IONOS

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      Form 2110 / September 2004 Texas Department of Aging and Disability Services Date Time DADS Staff Person Community Care Intake Individual’s Name (Last, First, MI) Sex DOB Social Security No. Individual’s Address (Street, City, State, ZIP) County Name County Code Telephone No. (include AC) Check if communication accommodation required Marital Status What kind?

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    • [DOC File]Texas Department of Aging and Disability Services

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      Texas Department of Aging and Disability Services. Access & Intake – Area Agencies on Aging Budget Performance Payment Comparison Workbook Review Form. Review Form – 3. AAA: Contract Year Quarter: Budget Type: Planning Current Service Reviewed: Data Management . …

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    • [DOCX File]Independent Living Services for Older Individuals ... - Texas

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      Texas Department of Aging and Disability ServicesComplaints Management & InvestigationsP.O. Box 149030, Mail Code E-340Austin, Texas 78714-9030 1-800-458-9858 A Texas Department of State Health Services–licensed substance abuse facility or program

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    • [DOC File]Texas Department

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      Texas Department of Aging and Disability Services Primary Home Care Service Delivery Record. Form. 3054. December 2003 Month & Year of Service. Employee Name. No. Employee Mailing Address If more than one employee serves the client, list employee name(s): Client Name. Client No. County.

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    • [DOCX File]PEN Template - Texas

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      The State of Texas, by and through the Department of Family and Protective Services (DFPS), and pursuant to its Adult Protective Services (APS) program, seeks emergency residential care placement for APS clients in nursing facilities licensed by the Department of Aging and Disability Services (DADS).

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    • [DOC File]Texas Department of Human Services

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      Texas Department of Aging and Disability Services, Consumer Rights and Services, Complaint Intake Unit E-249, P.O. Box 149030, Austin, TX 78714-9030 (If more than 15 total pages): Attach all documents and pertinent information that might be needed for DADS to complete the review of your investigation.

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    • [DOC File]CERTIFICATION

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      CERTIFICATION. REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY. AND VOLUNTARY EXCLUSION FOR COVERED CONTRACTS AND GRANTS. Federal Executive Order 12549 requires the Texas Department of Aging and Disability Services (DADS) to screen each covered potential contractor/grantee to determine whether each has a right to obtain a contract/grant in accordance with …

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