TX HHS Form 3200. Abortion Facility License Application

The TX HHS Form 3200, Abortion Facility License Application, is a crucial document for facilities seeking to obtain or renew an abortion facility license in Texas. This form helps solve the problem of ensuring compliance with state regulations and obtaining the necessary permits to operate an abortion facility.

This application requires key information about the facility, including its doing business as (DBA) name, mailing address, phone number, and fax number. The form also collects ownership information, such as the legal name and employer identification number (EIN) of the entity responsible for the facility's day-to-day operation. Additionally, applicants must indicate the type of ownership structure and provide documentation to support their claims.

The TX HHS Form 3200 should be used by abortion facilities seeking to obtain an initial license or make changes to an existing license, such as a change of ownership or relocation. The form is designed to collect essential information about the facility and its ownership structure, ensuring that applicants meet state regulations and requirements for operating an abortion facility in Texas.