| Policy |
Effective Date |
Title |
Format |
| |
03/2024 |
Table of Contents |
PDF |
| |
|
Disclaimer |
PDF |
| |
|
Transmittal Memos and Signature Pages |
HTML |
| |
|
Policy Review Schedules: |
|
| |
|
Policy Review for January |
PDF |
| |
|
Policy Review for April |
PDF |
| |
|
Policy Review for July |
PDF |
| |
|
Policy Review for October |
PDF |
| SECTION A: GOVERNANCE AND ADMINISTRATION |
| A-01.1 |
03/07/2017 |
Access to Care |
PDF |
| A-02.1 |
03/17/2016 |
Responsible Health Authority |
PDF |
| A-02.2 |
01/2024 |
Treatment of Injuries Incurred in the Line of Duty |
PDF |
| A-03.1 |
03/17/2016 |
Medical Autonomy |
PDF |
| A-04.1 |
3/17/2016 |
Administrative Meetings |
PDF |
| A-04.2 |
02/15/2019 |
Health Services Statistical Report |
PDF |
| A-05.1 |
10/2023 |
Correctional Managed Health Care Policies |
PDF |
| A-06.1 |
04/2022 |
Quality Improvement/Quality Management Program |
PDF |
| A-06.2 |
04/2022 |
Professional and Vocational Nurse Peer Review Process |
PDF |
| A-07.1 |
04/2022 |
Emergency Plans and Drills |
PDF |
| |
04/2022 |
Attachment A: Disaster Drill Evaluation Form |
PDF |
| A-08.1 |
04/2022 |
Decision Making for Serious Mentally Ill Patients |
PDF |
| |
04/2022 |
Attachment A: Mental Health Disciplinary Review Form |
PDF |
| A-08.2 |
04/2023 |
Transfers of Offenders with Acute Conditions |
PDF |
| |
04/2022 |
Attachment A: Approved Medical Transportation Criteria |
PDF |
| A-08.3 |
11/05/2025 |
Referral of Inmates to the Development Disabilities Program (DDP) |
PDF |
| A-08.4 |
07/2026 |
Inmate Medical and Mental Health Classification |
PDF |
| |
07/2026 |
Attachment A: Guidelines for Completing the Health Summary for Classification Form |
PDF |
| A-08.5 |
07/2026 |
Coordination with Windham School System |
PDF |
| A-08.6 |
07/2026 |
Medically Recommended Intensive Supervision Screening |
PDF |
| |
07/2026 |
Attachment A: MRIS Screening Form |
PDF |
| |
07/2026 |
Attachment B: MRIS Medical Summary |
PDF |
| A-08.7 |
07/2026 |
PULHES System of Inmate Medical and Mental Health Classification |
PDF |
| |
07/2026 |
Attachment A: PULHES Background and Information |
PDF |
| |
07/2026 |
Attachment B: Guidelines For Coding PUHLES |
PDF |
| A-08.8 |
07/2026 |
Medical Passes |
PDF |
| A-08.9 |
02/25/2026 |
The Chronic Mentally Ill Treatment Program (CMI-TP) |
PDF |
| A-08.10 |
02/25/2026 |
The Program for Aggressive Mentally Ill Inmate (PAMIO) |
PDF |
| A-09.1 |
10/2022 |
Privacy of Care |
PDF |
| A-10.1 |
10/2022 |
Notification Requirements Regarding Critically Ill Inmates |
PDF |
| A-11.1 |
04/15/2025 |
Procedure to be Followed in Cases of Inmate Death |
PDF |
| |
10/2021 |
Attachment A: Initial Notification to Health Services of Inmate Death |
PDF |
| |
10/2023 |
Attachment B: Deaths in Custody – Death Report for Bureau of Justice Statistics |
PDF |
| |
10/2021 |
Attachment C: Inmate Death Summary |
PDF |
| A-11.2 |
10/2022 |
Pronouncement of Death by Licensed Nurses |
PDF |
| A-12.1 |
10/2022 |
Grievance Mechanism |
PDF |
| |
10/2021 |
Attachment A: Getting Medical Treatment – English |
PDF |
| |
10/2021 |
Attachment B: Getting Medical Treatment – Spanish |
PDF |
| |
10/2021 |
Attachment C: Informal Resolution Process |
PDF |
| A-12.2 |
10/2023 |
Patient Liaison Program |
PDF |
| A-13.1 |
10/2022 |
Provider Peer Review |
PDF |
| SECTION B: MANAGING A SAFE AND HEALTHY ENVIRONMENT |
| Please refer to the Infection Control Policy Manual |
| SECTION C: PERSONNEL AND TRAINING |
| C-18.1 |
03/17/2016 |
Licensure and Credential Verification |
PDF |
| C-19.1 |
03/17/2016 |
Continuing Education/Staff Development |
PDF |
| C-19.2 |
04/2022 |
Correctional Managed Health Care Reference Materials |
PDF |
| |
04/2022 |
Attachment A: Sample Correctional Managed Health Care Bookshelf |
PDF |
| C-20.1 |
04/2022 |
Training for Correctional Officers |
PDF |
| C-22.1 |
07/2026 |
Inmate Workers |
PDF |
| C-23.1 |
07/2026 |
Position Descriptions |
PDF |
| C-24.1 |
10/2022 |
Staffing Levels |
PDF |
| C-25.1 |
10/2022 |
Orientation Training for Health Services Staff |
PDF |
| SECTION D: HEALTH CARE SERVICES SUPPORT |
| D-27.1 |
03/17/2016 |
Pharmaceuticals |
PDF |
| D-27.2 |
04/16/2025 |
Heat Stress (formerly B-15.2) |
PDF |
| |
04/02/2025 |
Attachment A: Drugs Associated With Heat Stress |
PDF |
| |
01/2023 |
Attachment B: Comorbidities That May Affect Heat Tolerance |
PDF |
| D-27.3 |
04/02/2025 |
Photosensitivity |
PDF |
| D-28.1 |
07/2026 |
Clinic Space, Equipment, and Supplies |
PDF |
| D-28.2 |
04/2022 |
Sharp, Needle and Syringe Control |
PDF |
| D-28.3 |
04/2022 |
Facility Repairs and Renovations |
PDF |
| D-28.4 |
04/2022 |
First Aid Kits |
PDF |
| D-28.5 |
07/2026 |
Equipment, Supplies and Inventory |
PDF |
| D-29.1 |
07/2026 |
Access to Diagnostic Services |
PDF |
| D-30.1 |
10/2022 |
Hospital and Specialized Ambulatory Care |
PDF |
| D-30.2 |
10/2023 |
Scheduling Approved Consultations to Specialty Health Services |
PDF |
| SECTION E: INMATE CARE AND TREATMENT |
| E-31.1 |
03/17/2016 |
Information on Health Care Services |
PDF |
| E-31.2 |
04/2022 |
Organ or Tissue Donation |
PDF |
| |
04/2022 |
Attachment A: Donor Information Sheet |
PDF |
| |
04/2022 |
Attachment B: Retraction of Tissue and Organ Donor Status |
PDF |
| E-31.3 |
03/18/2018 |
Obtaining Community Hospital Inmate Information |
PDF |
| E-31.4 |
04/2022 |
Management of Inmates Who Have Received Solid Organ Transplants |
PDF |
| E-32.1 |
11/05/2025 |
Receiving, Transfer and Continuity of Care Screening |
PDF |
| |
06/2015 |
Attachment A: SAFPF Detoxification Medications List |
PDF |
| E-34.1 |
07/13/2023 |
Health Appraisal of Incoming Inmates |
PDF |
| E-34.2 |
02/25/2026 |
Periodic Physical Examinations |
PDF |
| E-34.3 |
03/17/2016 |
Use of Force Procedures |
PDF |
| E-34.4 |
04/2022 |
Reporting Suspected Abuse |
PDF |
| E-34.5 |
04/2022 |
Chemical Agents and the Use of Force Contraindication List |
PDF |
| E-34.6 |
10/03/2024 |
TASER (Conducted Electrical Devices) |
PDF |
|
10/03/2024 |
Attachment A: After TASER Discharge Education Pamphlet |
PDF |
|
10/03/2024 |
Attachment A: After TASER Discharge Education Pamphlet (Spanish) |
PDF |
| E-35.1 |
04/2022 |
Mental Health Appraisal for Incoming Inmates |
PDF |
| E-35.2 |
11/05/2025 |
Mental Health Evaluation |
PDF |
| E-36.1 |
08/02/2024 |
Dental Treatment Levels of Care |
PDF |
| E-36.2 |
08/02/2024 |
Inprocessing Inmates – Dental Examination, Classification, Education and Treatment |
PDF |
| E-36.3 |
08/12/2026 |
Recording and Scheduling Dental Patient Visits |
PDF |
| E-36.4 |
11/05/2025 |
Dental Prosthodontic Services |
PDF |
| |
04/2022 |
Attachment A: Medically Necessary Dental Prosthetics Referral Form |
PDF |
| |
11/05/2025 |
Attachment B: Completed Dental Prosthesis Requisition Form |
PDF |
| E-36.5 |
07/2026 |
Dental Utilization/Quality Review Committee |
PDF |
| E-36.6 |
07/2026 |
Periodontal Disease Program |
PDF |
| E-36.7 |
02/25/2026 |
Dental Clinic Operations Reporting |
PDF |
| E-36.8 |
07/2026 |
Dental Comprehensive Treatment Plan (DCTP) |
PDF |
| E-37.1 |
09/08/2022 |
Daily Processing of Health Complaints and Sick Call |
PDF |
| |
04/2022 |
Attachment A: Sick Call Procedure For Inmates Unable To Write |
PDF |
| E-37.2 |
04/2022 |
Guidelines for Clipper Shave Pass |
PDF |
| E-37.3 |
04/2022 |
Medical Lay-Ins |
PDF |
| E-37.4 |
04/2022 |
Lockdown Procedures |
PDF |
| E-37.5 |
04/2022 |
Interpreter Services – Monolingual Spanish-Speaking Offenders |
PDF |
| E-37.6 |
07/2026 |
Cosmetic Surgery |
PDF |
| E-39.1 |
07/2026 |
Health Evaluation and Documentation Inmates in Segregation – Restrictive Housing |
PDF |
| E-39.2 |
10/2022 |
Alternative Meal Service |
PDF |
| E-40.1 |
07/2026 |
Direct Medical Orders |
PDF |
| E-41.1 |
07/2026 |
Emergency Services |
PDF |
| E-41.2 |
07/2026 |
Emergency Response During Hours of Operation |
PDF |
| |
07/2026 |
Attachment A: Inventory List |
PDF |
| E-42.1 |
07/2026 |
Offender Transport and Transfer |
PDF |
| E-42.2 |
11/05/2025 |
Missed Clinic Appointment |
PDF |
| |
10/2021 |
Attachment A: SLC Missed Appointment Audit/Survey |
PDF |
| E-42.3 |
04/02/2025 |
Transportation of Infirmary and Inpatient Mental Health Inmates |
PDF |
| |
10/2021 |
Attachment A: Authorization to Leave the Inpatient or Sheltered Housing Setting |
PDF |
| E-42.4 |
07/2026 |
Medical Holds |
PDF |
| E-43.1 |
10/2022 |
Delegation to Advanced Practice Registered Nurses and Physician Assistants |
PDF |
| |
10/2021 |
Attachment A: Prescriptive Authority Agreement |
PDF |
| |
10/2021 |
Attachment B: Alternative Physician Supervision Log |
PDF |
| E-44.1 |
10/2023 |
Continuity of Care |
PDF |
| E-44.2 |
10/2023 |
Examination of Inmates by Private Practitioners |
PDF |
| |
10/2021 |
Attachment A: Request and Consent for Examination by Private Practitioner |
PDF |
| SECTION F: HEALTH PROMOTION AND DISEASE PREVENTION |
| F-46.1 |
03/17/2016 |
Health Education and Promotion |
PDF |
| F-47.1 |
03/26/2025 |
Therapeutic Diets and Food Allergies |
PDF |
| |
04/2022 |
Attachment A: Counseling Sheet for Therapeutic Diet Refusal |
PDF |
| F-48.1 |
04/2022 |
Exercise Program |
PDF |
| F-49.1 |
07/2026 |
Personal Hygiene |
PDF |
| F-50.1 |
10/12/2023 |
Tobacco Free Environment |
PDF |
| SECTION G: SPECIAL NEEDS AND SERVICES |
| G-51.1 |
03/07/2017 |
Inmates with Special Needs |
PDF |
| G-51.3 |
01/2023 |
Admission Health Appraisals for Inmates with Physical Disabilities |
PDF |
| |
01/2022 |
Attachment A: Speech Pathology Referral Criteria for TDCJ and Speech Pathology Referral Process |
PDF |
| |
01/2022 |
Attachment B: Level of Care Assessment |
PDF |
| G-51.4 |
03/17/2016 |
Wheelchair Repair and Maintenance |
PDF |
| G-51.5 |
03/08/2018 |
Certified American Sign Language (ASL) Interpreter Services |
PDF |
| G-51.6 |
11/05/2025 |
Referral of an Inmate for Admission Into a Behavioral Health Facility |
PDF |
| G-51.7 |
11/05/2025 |
Behavioral Health Treatment for Substance Abuse Felony Punishment Facility Offenders |
PDF |
| G-51.8 |
04/2022 |
Care of Inmates With Terminal Conditions |
PDF |
| |
04/2022 |
Attachment A: Consent to Hospice Care |
PDF |
| |
04/2022 |
Attachment B: Hospice Guidelines |
PDF |
| G-51.9 |
08/02/2024 |
Wheelchair Use |
PDF |
| |
04/2022 |
Attachment A: Special Wheelchair Committee - Treatment Plan of Inmate Refusing to Walk |
PDF |
| |
04/2022 |
Attachment B: Special Wheelchair Committee Treatment Plan Form |
PDF |
| G-51.10 |
04/2022 |
Chronic Care Program |
PDF |
| G-51.12 |
07/2026 |
Inmates with Special Needs who are Releasing from TDCJ |
PDF |
| G-51.13 |
04/02/2025 |
Admission to a Sheltered Housing |
PDF |
| G-52.1 |
07/2026 |
Infirmary Care |
PDF |
| G-52.2 |
07/13/2023 |
Chronic Mentally Ill - Sheltered Housing (CMI-SH) |
PDF |
| G-52.3 |
11/05/2025 |
Admission to the TDCJ Mental Health Therapeutic Diversion Program (MHTDP) |
PDF |
| G-52.4 |
04/2023 |
Seriously Mentally Ill – Sheltered Housing (SMI-SH) |
PDF |
| |
04/2022 |
Attachment A - Seriously Mentally Ill – (SMI-SH) Referral Form |
PDF |
| G-53.1 |
11/05/2025 |
Suicide Prevention Plan |
PDF |
| |
08/23/2018 |
Attachment A - Health Services Policy Facility Addendum |
PDF |
| G-53.3 |
07/2026 |
Management of Inmates Hunger Strikes |
PDF |
| G-54.1 |
07/2026 |
Detoxification |
PDF |
| G-55.1 |
11/05/2025 |
Pregnant Inmates |
PDF |
| G-56.1 |
10/2022 |
Inmates with Substance Abuse Disorders |
PDF |
| G-57.1 |
07/13/2023 |
Sexual Assault/Sexual Abuse |
PDF |
| G-59.2 |
04/2023 |
Optical Prostheses and Appliances |
PDF |
| |
10/2021 |
Attachment A: CMHC Dispensing of Prescription Eyewear |
PDF |
| G-59.3 |
10/2022 |
Medical Prostheses and Orthotic Devices |
PDF |
| |
10/2021 |
Attachment A: Medical Conditions Not Suitable for B&L Referral |
PDF |
| G-60.1 |
10/2023 |
Tattoo Removal Program |
PDF |
| SECTION H: HEALTH RECORDS |
| H-60.1 |
02/25/2019 |
Health Records – Organization, Maintenance and Governance |
PDF |
| |
01/2022 |
Attachment A: Outpatient Health Record Format |
PDF |
| |
01/2022 |
Attachment B: List of EHR Chart Sections |
PDF |
| |
02/25/2026 |
Attachment C: Approved Abbreviations |
PDF |
| |
01/2022 |
Attachment D: CMHC EHR Standard Operating Procedure – Change Sign User for Email |
PDF |
| |
01/2022 |
Attachment E: CMC Document Clarification |
PDF |
| |
01/2022 |
Attachment F: CMHC EHR Standard Operating Procedure – Creating an Addendum Note |
PDF |
| |
01/2022 |
Attachment G: Incomplete Chart Review |
PDF |
| H-60.2 |
02/25/2026 |
Inpatient Health Records |
PDF |
| |
04/2022 |
Attachment A: History and Physical Examination |
PDF |
| |
04/2022 |
Attachment B: Discharge Summary |
PDF |
| |
04/2022 |
Attachment C: Approval To File an Incomplete Medical Record |
PDF |
| H-60.3 |
07/2026 |
Health Services Forms Control and Design |
PDF |
| H-60.4 |
04/07/2017 |
Utilization of Electronic Health Record |
PDF |
| H-61.1 |
07/2026 |
Confidentiality and Release of Protected Health Information |
PDF |
| |
07/2026 |
Attachment A: Affidavit of Personal Representative |
PDF |
| |
07/2026 |
Attachment B: Authorization for the Use and Disclosure of Protected Health Information (PHI) - English |
PDF |
| |
07/2026 |
Attachment C: Authorization for the Use and Disclosure of Protected Health Information (PHI) - Spanish |
PDF |
| |
07/2026 |
Attachment D: Calculation of Costs for Patient Health Information (2/2005) Facilities |
PDF |
| |
07/2026 |
Attachment E: Calculation of Costs for Patient Health Information (2/2005) Health Services Archives |
PDF |
| H-64.1 |
10/2022 |
Transfer of Health Records |
PDF |
| |
10/2021 |
Attachment A: Breach of Confidentiality Incident Log |
PDF |
| |
10/2021 |
Attachment B: Breach of Confidentiality Form |
PDF |
| H-65.1 |
11/22/2021 |
Retention/Destruction of Health Records |
PDF |
| SECTION I: MEDICAL-LEGAL ISSUES |
| I-66.1 |
11/04/2017 |
Medical Therapeutic Restraints |
PDF |
| |
08/23/2016 |
Attachment A: Medical Therapeutic Restraint Flow Sheet |
PDF |
| I-66.2 |
10/2022 |
Therapeutic Restraint of Mental Health Patients |
PDF |
| I-66.3 |
10/2022 |
Therapeutic Seclusion of Mental Health Patients |
PDF |
| I-67.1 |
12/9/2025 |
Compelled Psychoactive Medication for Mental Illness |
PDF |
| |
12/9/2025 |
Attachment A: Correctional Managed Health Care - Mental Health Services Certificate of Emergency Compelled Psychoactive Medication In A Mentally Ill Person |
PDF |
| |
12/9/2025 |
Attachment B: Certificate of Non-Emergency Compelled Psychoactive Medication in a Mentally Ill Person |
PDF |
| I-68.1 |
03/17/2016 |
Blood and Urine Testing for Forensic Purposes |
PDF |
| I-68.2 |
03/07/2017 |
DNA Specimen Collection |
PDF |
| I-68.3 |
03/07/2016 |
Forensic Information |
PDF |
| I-68.4 |
04/2022 |
Medical Consultation for the Inmate Drug Testing Program |
PDF |
| |
04/2022 |
Attachment A: Inmate Controlled Substance Testing Information Form |
PDF |
| |
04/2022 |
Attachment B: Prescription Drugs Giving Positive Results for the T-cup Test |
PDF |
| I-69.1 |
04/2022 |
Participation in Executions |
PDF |
| I-70.1 |
07/2026 |
Informed Consent |
PDF |
| |
07/2026 |
Attachment A: Request/Consent for Treatment or Services |
PDF |
| I-70.2 |
10/2022 |
Consent for Admission to a Behavioral Health Facility |
PDF |
| |
10/2021 |
Attachment A: Voluntary Consent for Admission to a Behavioral Health Facility |
PDF |
| |
10/2021 |
Attachment B: Psychiatric Involuntary Admission Review |
PDF |
| |
10/2021 |
Attachment C: Involuntary Admission to a Behavioral Health Facility |
PDF |
| I-71.1 |
07/2026 |
Offender’s Right to Refuse Treatment, Department’s Right to Compel Treatment |
PDF |
| |
07/2026 |
Attachment A: Request for Compelled Medical Treatment |
PDF |
| |
07/2026 |
Attachment B: Refusal of Treatment or Services |
PDF |
| |
07/2026 |
Attachment C: Instructions For Completing The Refusal Of Treatment Form |
PDF |
| I-71.2 |
10/2022 |
Patient Self-Determination Act, Natural Death Act, Advance Directives Act |
PDF |
| |
10/2021 |
Attachment A: Directive To Physicians |
PDF |
| |
10/2021 |
Attachment B: Standard Out-Of-Hospital Do-Not-Resuscitate Order |
PDF |
| |
10/2021 |
Attachment C: Patient Information About Advance Directives |
PDF |
| I-72.1 |
07/2026 |
Biomedical Research |
PDF |
TEXAS DEPARTMENT OF CRIMINAL JUSTICE
