2014 TX Form 4122-2025

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87 votes

The document is a service delivery log for Home and Community-based Services, specifically for Host/Companion services. It includes sections for tracking daily activities and support provided to individuals, such as assistance with daily living skills, habilitation, and health monitoring. The log requires documentation of completed tasks, incidents, and staff signatures.

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Versions	Form popularity	Fillable & printable
2018	4.8 Satisfied (65 Votes)
2014	4.3 Satisfied (87 Votes)
2012	4 Satisfied (53 Votes)

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