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File Downloads / Links

I . Referral/Authorization Form <a href="/sites/default/files/hcbs/files/19/918/Authorization.pdf" target="_blank">PDF</a>
J. Care Plan <a href="/sites/default/files/hcbs/files/22/1058/CarePlan.pdf" target="_blank">PDF</a>
H. Client Needs Assessment Questionnaire <a href="/sites/default/files/hcbs/files/22/1062/Assessment.pdf" target="_blank">PDF</a>
A. Introduction to Texoma Letter <a href="/sites/default/files/hcbs/files/41/2008/A_Introduction_to_Texoma_Letter.pdf" target="_blank">PDF</a>
B. Texoma Real Choice Program Overview <a href="/sites/default/files/hcbs/files/41/2009/B_texoma_real_choice_prog_overview.ppt" target="_blank">PowerPoint</a>
B. Texoma Real Choice Program Overview <a href="/sites/default/files/hcbs/files/41/2010/B_texoma_real_choice_prog_overview.pdf" target="_blank">PDF</a>
C. Sample In-House Job Description <a href="/sites/default/files/hcbs/files/41/2011/C_sample_in_house_job_posting.pdf" target="_blank">PDF</a>
D. Referral Form <a href="/sites/default/files/hcbs/files/41/2012/D_Referral_Form.pdf" target="_blank">PDF</a>
E. Presurvey Form <a href="/sites/default/files/hcbs/files/41/2013/E_Presurvey_Form.pdf" target="_blank">PDF</a>
F. Intake Form <a href="/sites/default/files/hcbs/files/41/2014/F_Intake_Form.pdf" target="_blank">PDF</a>
G. Information Release <a href="/sites/default/files/hcbs/files/41/2015/G_Information_Release.pdf" target="_blank">PDF</a>
K. Withdrawl of Permission Form <a href="/sites/default/files/hcbs/files/41/2016/K_Withdrawal_of_permission_form.pdf" target="_blank">PDF</a>
L. Post Service Customer Survey <a href="/sites/default/files/hcbs/files/41/2017/L_Post_Service_Consumer_Survey.pdf" target="_blank">PDF</a>
M. Intake & Referral Form <a href="/sites/default/files/hcbs/files/48/2375/Texoma_Aging_DD_Service_Provider_Network_Intake_Referral_For.pdf" target="_blank">PDF</a>

Texoma Real Choice Program: System Navigators-Overview, Presentation, Forms and Survey

Article Publication Date
Summary
The Texoma Real Choice Program--a demonstration project made possible by a grant awarded to the Texas Health and Human Service Commission by the federal Centers for Medicare and Medicaid Services. The programs goal is to connect persons with disabilities to real service options with the help of system navigators available to assist people through systems and support groups. The below attachments are forms, surveys and other tools needed to implement the program.
Populations
Texoma Real Choice Program
States
Disability System Navigators; Texoma; Intake; Assessment Forms; Service Arrangements; Care Plan Development;

Contact

Janis
Thompson
NULL
NULL
jthompson@texoma.cog.tx.us
Phone
903-813-3580
Contact Fax
903-813-3573