
TEXAS UNIFORM HEALTH STATUS UPDATE I. NAME: DOB: Last First STATE ID# RACE: COUNTY/TDCJ# II. / SEX: Male WT: CURRENT/CHRONIC HEALTH PROBLEMS A. Health Problems 1. None 2. Asthma 3. Pregnancy 4. Dental.
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How to fill out the Texas Uniform Health Status Update online
The Texas Uniform Health Status Update is a vital document that captures essential health information. This guide will provide you with clear, step-by-step instructions on how to complete the form efficiently online.
Follow the steps to complete the form accurately.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Fill in the personal information section. Provide the inmate's last name, first name, middle initial, date of birth, state identification number, race, age, weight, height, and sex. Make sure to include the County/TDCJ number.
- Indicate any current/chronic health problems by checking the appropriate boxes. You can select multiple options that apply to the individual’s health status.
- In the Special Needs section, check all applicable requirements for housing restrictions, transportation needs, and pending specialty clinic appointments.
- Provide information about any allergies the inmate has. Use the space provided to list any specific allergies.
- In the Preventive Medicine section, record dates and results for tuberculosis tests, hepatitis, HIV antibody test, and syphilis, ensuring the information is accurate.
- List all currently prescribed medications, including the name of the medication, dosage, and frequency of administration.
- Ensure the form is completed by signing and dating in the designated area. Include your title and phone number.
- Once you have filled out all sections thoroughly, you may save your changes, download the document, print it, or share it as required.
Start completing your Texas Uniform Health Status Update form online today.
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