Texas Self Direction Forms2019-03-12T16:03:48+00:00
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The following forms need to be completed by the participant so they can be set up as an employer through Outreach Health Services. This is needed for Outreach to provide payroll services to their employees.

Please take the time to download, review and complete the Participant Employer Packet and return the completed forms to Outreach Health Services. You can fax the completed packet to 888-703-1130

Form 2678 Employer/Payer Appointment of Agent Form 

Downloadable PDF
Downloadable PDF
Downloadable PDF
Downloadable PDF

The following forms are used to enroll as a employee. Please take the time to download, review and complete the Employee Packet and return the completed forms to Outreach Health Services. You can fax the Employee Packet using our toll free fax, below.

The forms in the first section must be completed and faxed to Outreach first. When the eligibility checks have been processed Outreach will call the employer and let them know that the section can be completed and faxed in.

Toll Free Fax: 888-703-1130
Email: cds.forms@outreachhealth.com

Remember that employee will not be paid for work time until these forms have been received and are processed by Outreach Health Services. Outreach will call the employer and follow with a letter when the employee is approved to begin work.

Downloadable PDF
Downloadable PDF
Downloadable PDF
Downloadable PDF
Downloadable PDF
Downloadable PDF
Downloadable PDF
Downloadable PDF
Downloadable PDF
Downloadable PDF

The following forms are used by the participant’s employee to receive payment.

Time must be submitted by Monday at midnight for the pay period. Late time may result in late pay.

Toll Free Fax: 888-703-1416
Email: cdstimesheets@outreachhealth.com

Note: Use the proper timesheet for the appropriate program or services. Contact your Service Representative for more information.

Downloadable PDF
Downloadable PDF
Downloadable PDF
Downloadable PDF