Get Tpapn Referral Documentation - Texasnurses

The TPAPN Referral Documentation is essential for referring a nurse to the Texas Peer Assistance Program for Nurses. This guide provides clear instructions on how to accurately complete the form online, ensuring that all necessary information is submitted correctly.

Follow the steps to accurately complete the TPAPN referral documentation.

1. Use the ‘Get Form’ button to retrieve the TPAPN Referral Documentation and open it for editing.
2. Begin by filling out the 'Information About Person Referring Nurse' section. Include your first name, last name, title, place of employment, facility address, city, telephone number, relationship to the nurse, email, and any relevant colleagues or other contacts.
3. Next, complete the 'Information About Nurse Being Referred' section. Provide the nurse's first name, last name, phone number, home address, city, Texas Nursing License Number, expiration date, title, age, job status when referred, facility name, length of employment, type of employment, current area of practice, and the reason for referral.
4. In the 'Description of Possible Practice Violations' section, be specific about any concerns. You may add additional pages if needed. Click in the box to begin typing your description.
5. Complete the 'Form Completed By' section with your name and the date. Ensure all sections are filled out completely for accuracy.
6. Once you have filled out all the required fields, you can save your changes, download, print, or share the completed form as needed.

Start filling out your documents online today to ensure timely processing.