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Completing this PDF calls for attention to detail. Make sure that all mandatory blanks are filled in correctly.
1. Fill out your hhsc form 3613 with a selection of necessary blank fields. Note all of the important information and ensure there is nothing left out!
2. The third part is usually to fill out the next few blanks: City State ZIP Code, County, Area Code and Telephone No, Fax Area Code and Telephone No, Parent, BranchAlternate Delivery Site, Confidential Document, This communication including any, For Home and Community Support, Home Health Personal Assistance, and Form.
3. Through this step, examine DADS Intake ID No, Date Reported to DADS, Time Reported, DFPS Call ID No, License No, Area Code and Telephone No, Fax Area Code and Telephone No, City, ZIP Code, Who made the allegation, County, When, Provider Type, HCSSA, and Name. All these need to be filled in with highest accuracy.
4. This next section requires some additional information. Ensure you complete all the necessary fields - If applicable describe any special, Age at the time of the allegation, Services Provided type number of, Independently ambulatory, Yes, No Interviewable, Yes, No Capacity to make informed, Yes, Known history of, Combativeness, Sexual misconduct, Yes Yes, No No, and Similar allegations - to proceed further in your process!
5. To finish your document, the particular area includes a few extra blanks. Filling in DADS Intake ID No, Agency Name, License No, How was the AP identified, By Name, By Description, Other, The AP, Denied, Confirmed, History of similar allegations, Yes, Did investigation reveal the, Statement attached signed and, and Yes should finalize everything and you can be done in no time!
In terms of Yes and License No, be certain that you do everything right here. Both these are the key fields in the file.
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