Texas dept of state health services forms
[DOC File]Agency Name: Dept of State Health Services
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Agency Name: Dept of State Health Services Author: TDHUSER Last modified by: Schooley,John (DSHS) Created Date: 2/17/2017 4:48:00 PM Company: DSHS Other titles: Agency Name: Dept of State Health Services
[DOC File]Form 2970c - Texas Health and Human Services
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Texas Dept of Family . and Protective Services Disclosure and Consent to Release of Information Regarding Criminal or Abuse/Neglect History. For Applicants, Employees or Volunteers of DFPS Contractors and Subcontractors. Form 2970c. August 2012 Additional pages can …
[DOC File]Texas Department of Aging and Disability Services
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13 Has adequate proportion for In-Home Services been met? If no, the AAA should evaluate the projected expenditures for the listed services for the remainder of the contract year. If the projected expenditures are less than the required amount the AAA should contact the Department’s Help Desk at T3Ahelp@DADS.state.tx.us to request a waiver.
[DOC File]Sample Plan: - Texas
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Texas Department of State Health Services. P.O. Box 149347 MC 1965. Austin, Texas 78714-9347. 512-458-7111 ext. 6161. Brett.Spencer@dshs.state.tx.us [State Agency Name] Wellness Plan FY to FY Program Purpose
[DOC File]Environmental Health Checklist - Texas Department of ...
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If a private well is used, the Texas Department of Health or local health department must be consulted if any problems arise ... Texas Dept of Family. and Protective Services ENVIRONMENTAL HEALTH CHECKLIST Form 2932. April 2004 Title: Environmental Health Checklist Subject: Apr …
[DOC File]Medical, Dental, Vision, Hearing Examination
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TX DEPT OF FAMILY SERVICES AND PROTECTIVE SERVICES FORM 2403. Revised September 2013. ll. HEALTH CARE EXAMINATION (This page to be completed by Health Care Provider OR Caregiver [if Health Care Provider is unable to complete.]) Child’s Name: DOB: Examination Date: VISIT TYPE: MEDICAL: TxHSTEPS Initial Regular. Acute/Follow-up Visit
[DOC File]DFPS Medical/Dental/Vision Examination Form
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Child needs an initial Texas Health Steps Medical Checkup by a Texas Health Steps provider within 30 days of entering DFPS conservatorship Child under age 36 months needs an additional age-appropriate Texas Health Steps Medical Checkup per Periodicity Schedule (3 to 5 days after birth, 2 weeks after birth, 2, 4, 6, 9, 12, 15, 18, 24 and 30 months)
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