TX DSHS M-60 2018-2025 free printable template
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Flush leftCertificate of Record for Vision Screen and/or Eye Examination Certificate of Record for Vision Screen and/or Eye Examination Child's Name Birthdate Age Child's Name Birthdate Age Flush
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How to fill out TX DSHS M-60
01
Obtain the TX DSHS M-60 form from the Texas Department of State Health Services website or your local health department.
02
Fill in your personal information, including your name, address, and contact details in the designated fields.
03
Provide information about your medical history and current health status as required on the form.
04
Specify the purpose for completing the M-60 form.
05
Ensure all information is accurate and complete before submitting.
06
Sign and date the form at the bottom where indicated.
Who needs TX DSHS M-60?
01
Individuals applying for certain health services or benefits from the Texas Department of State Health Services.
02
Healthcare providers who need to document client eligibility for specific health programs.
03
Residents needing assistance in health-related matters who are required to submit this form.
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What is TX DSHS M-60?
TX DSHS M-60 is a reporting form used by the Texas Department of State Health Services for certain health-related data collection and analysis.
Who is required to file TX DSHS M-60?
Entities that provide specific health services in Texas, such as healthcare facilities and providers, are required to file TX DSHS M-60.
How to fill out TX DSHS M-60?
To fill out TX DSHS M-60, follow the provided instructions on the form, ensuring that all required sections are completed with accurate data before submission.
What is the purpose of TX DSHS M-60?
The purpose of TX DSHS M-60 is to gather essential health statistics and information that can help in public health planning and resource allocation in Texas.
What information must be reported on TX DSHS M-60?
TX DSHS M-60 requires reporting information such as patient demographics, services provided, and health outcomes related to the services rendered.
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