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 operate legally in the state of Texas. This form helps solve the problem of ensuring that abortion facilities comply with licensing requirements, thereby promoting public health and safety.

This application requires facility information, including the doing business as (DBA) or assumed name, area code and phone number, mailing address, and ZIP code. Additionally, ownership information is necessary, including legal name, employer identification number (EIN), and mailing address. The form also asks about the type of ownership structure, such as sole proprietorship, partnership, corporation, or management contract.

The Abortion Facility License Application is typically used by facilities seeking to obtain an initial license, change ownership, or relocate their operations. Key features of this form include required information for facility and ownership details, as well as conditions and responsibilities for maintaining a licensed abortion facility. By completing this application, facilities demonstrate their commitment to adhering to Texas Health and Human Services (HHS) regulations and guidelines.

• This form is used by abortion facilities seeking to obtain or maintain licensure in the state of Texas.
• The application requires detailed information about facility operations and ownership structure.
• Completing this form demonstrates a facility's commitment to complying with HHS regulations and promoting public health and safety.