Downloading a Form to Your Computer

Fillable forms cannot be viewed on mobile or tablet devices. Follow the steps below to download and view the form on a desktop PC or Mac.

  1. Right Click for PC or Ctrl + Click for Mac on the PDF link and click “Save link as” from the menu.
  2. Select the folder you want to save the file in and then click "Save."
  3. Navigate to the folder you saved the file in and Right Click for PC or Ctrl + Click for Mac, then select "Open With" from the menu and select Adobe Acrobat Reader DC.

    Note: Open the PDF file from your desktop or Adobe Acrobat Reader DC. Do not click on the downloaded file at the bottom of the browser since it will not open the PDF in Adobe Acrobat Reader DC. It will try to open the file in the browser that results in the same browser error message.

    If still having trouble viewing or downloading a form, click here.

Effective Date: 



Updated: 10/2015


To notify Day Activity and Health Services (DAHS) facilities about critical omissions or errors in documentation required for prior approval.


When to Prepare

The HHSC regional nurse completes Form 3070 when the documentation submitted by the facility for prior approval contains critical omissions or errors that must be corrected before prior approval.

Number of Copies

Prepare Form 3070 in duplicate.

Transmittal and Form Retention

The original is sent to the facility when the prior approval packet is returned for correction. The regional nurse keeps a copy of any Form 3070 related to denials or necessary corrections. Another copy is forwarded to the case manager to retain in the case record.

Detailed Instructions

Check each critical error or omission that applies. Enter the due date as 14 days from the date Form 3070 is expected to be mailed to the facility. (Count the first day after the mail date as day one.)

In the space under each item or in the additional explanation section, provide details or additional information about the items checked.