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Fillable Texas Proof of Pregnancy Form H3037

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Get your Texas Proof of Pregnancy Form H3037 in 3 easy steps

  • 01 Fill and edit template
  • 02 Sign it online
  • 03 Export or print immediately

What Is Texas Proof of Pregnancy Form H3037?

Form H3037 should be filled to report pregnancy from the sixth to the ninth month. The advisor should give an original and two copies to the individual. If the client works with a physician, an original and a copy has to be sent to the medical worker first, who will provide a self-return mail. 

What I Need the Texas Proof of Pregnancy Form H3037 for?

  • If the client should get official permission to be exempt from working. That’s why Proof of Pregnancy Form Texas should be filled out only if the pregnancy began at least six months ago;
  • to report about the date of the expected delivery; 
  • to report if the client will have multiple births; 
  • to get official Proof of Pregnancy Form from a doctor.

How to Fill Out Texas Proof of Pregnancy Form H3037? 

Printable Proof of Pregnancy Form consists of two pages. You should follow these steps to fill out this blank.

  1. Write the name of the patient and their case name and number;
  2. Fill out the information about the pregnancy, including the month when the pregnancy began and the expected date of delivery;
  3. Indicate the information about the physician or other medical worker. You should write the name, address, and telephone number;
  4. Section “Please return to” should contain the address where the physician has to return this form after signing.

You don’t need to sign the fillable PDF form when it’s ready; it should be done by the medical worker.

Organizations That Work With Texas Proof of Pregnancy Form H3037

Texas Health and Human Services Commission. 

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Fillable online Texas Proof of Pregnancy Form H3037
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