Get Tx Form 0066 2015-2025

Filling out the TX Form 0066 is crucial for initiating authorized electronic monitoring in accordance with Texas health regulations. This guide will help you navigate the form's components and fill it out accurately online.

Follow the steps to complete the TX Form 0066 online.

1. Press the ‘Get Form’ button to access the TX Form 0066, which will open the form in the online editor.
2. In the first field, enter the name of the resident who will be monitored. Ensure the spelling is correct to avoid any discrepancies.
3. Next, fill in the name of the requestor. This can be the person initiating the request for monitoring on behalf of the resident.
4. Indicate the name of the facility where the monitoring will take place. This information is necessary for proper identification and accountability.
5. Select whether the monitoring device is a video surveillance camera by choosing 'Yes' or 'No'. If 'Yes', provide the necessary details regarding camera placement.
6. Respond to whether the resident resides in a multi-person room by selecting 'Yes' or 'No'. This information could impact monitoring protocols.
7. The form requires a signature from either the resident, their guardian, or legal representative. Ensure the person signing is authorized as per Texas Health and Safety Code.
8. Finally, enter the date when the form is signed. Review all the information for accuracy before proceeding.
9. After filling out the form, you can save your changes, download a copy, print the form for physical records, or share it as needed.

Start filling out the TX Form 0066 online today to ensure effective monitoring compliance.