Category I, CE d) One-Time CE Claimant Telehealth Call Script (subset of "CE Forms Samples" category)

Disability Case Development Information Collections

OMB: 0960-0555

IC ID: 241087

Documents and Forms

Document Name Document Type
THCE Agreeement Call Script - Adult (revised).pdf Other- THCE Agreeement Call Script - Adult (revised).
THCE Agreeement Call Script - Adult with Legal Guardian (revised).pdf Other- THCE Agreeement Call Script - Adult with Legal Guardian
THCE Agreeement Call Script - Child (revised).pdf Other- THCE Agreeement Call Script - Child (revised)
THCE Agreement Form - Adult (revised).pdf Other- THCE Agreement Form - Adult
THCE Agreement Form - Adult (revised).pdf Other- THCE Agreement Form - Adult
THCE Agreement Form - Adult with Legal Guardian (revised).pdf Other-THCE Agreement Form - Adult with Legal Guardian
THCE Agreement Form - Child (revised).pdf Other- THCE Agreement Form - Child
Telehealth Consultative Examination Agreement Form (current).pdf Telehealth Consultative Examination Agreement Form IC Document
Telehealth Consultative Examinaton Agreement Call Script (current).pdf Telehealth Consultative Examination Agreement Call Script (current) IC Document