Texas Code § 242.183

PLAN OF CARE
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Sec. 242.183. PLAN OF CARE. (a) The institution and the person arranging the care must agree on the plan of care and the plan must be filed at the institution before the institution admits the person for the care.
(b) The plan of care must be signed by:
(1) a licensed physician if the person for whom the care is arranged needs medical care or treatment; or
(2) the person arranging for the respite care if medical care or treatment is not needed.
(c) The institution may keep an agreed plan of care for a person for not longer than six months from the date on which it is received. During that period, the institution may admit the person as frequently as is needed and as accommodations are available.

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