H1836-B: Texas Medical Release or Physician’s Statement

Form H1836-B PDF Details

Federal and state regulations require that people receiving benefits work or participate in activities to prepare them for work.

Circumstance: this is unless they cannot due to a circumstance such as being needed in the home for the patient's disabling illness or injury.

Part A: to what extent can the caregiver work or participate in activities to prepare for work?

Section 1: to be completed by staff.

Physician: after you complete the form, you may give it to the person or mail it to HHSC at the address in Section 1.

Section 3: the patient or patient's personal representative completes this section.

Section 3 signature: you must sign this form if you want the applicant to be eligible for an exemption from the employment services program.