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  1. NOTE: These forms are specifically for Endorsement & NCLEX Applicants for initial Texas licensure. Texas LVNs/RNs/APRNs who need a verification of their Texas license sent to another jurisdiction/agency should submit a request via their Texas Nurse Portal.

  2. Form 8584 is used by registered nurses (RNs) in Home and Community-based Services (HCS) and Texas Home Living (TxHmL) to document a comprehensive physical and psychological assessment of an individual’s health history, including current health status and current health needs.

  3. Texas Health and Human Services Commission has introduced the Texas Unified Licensure Information Portal (TULIP), an online system for submitting long-term care licensure applications and health care regulation Architectural Review requests.

  4. Form 2190 — Capacity Assessment for Self-Care and Financial Management; Disclosure Forms. Form 3641-A — Alzheimer's Nursing Facility Disclosure; Swing Bed Application Forms. Form 3604 — Ownership Transfer Affidavit; Miscellaneous Forms. Form 1127 — Fire Marshal/State Fire Marshal Notification; Form 1129 — Fire Suppression Authority ...

  5. We are now providing a secure nurse portal to enable an applicant or licensee to submit an application of various types. It will be necessary to access the nurse portal for renewal, name changes, password changes, address changes, email changes, licensure by endorsement, licensure by examination, multistate conversion and employment information.

  6. The resource provides practical guidance to nurses with key information, rule references, logical algorithms for common SHNPR scenarios, links to SHNPR forms, a historical timeline of SHNPR in Texas, and a glossary of relevant definitions.

  7. This Texas Medicaid Provider Enrollment Application can be completed to enroll in Texas Medicaid as a traditional Medicaid provider, a Texas Health Steps (THSteps) medical check-up provider, and a Children with Special Health Care

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