TX HHS Form 3207. Chemical Dependency Treatment Facility License Application

The TX HHS Form 3207 is a Chemical Dependency Treatment Facility License Application designed to help organizations obtain or modify licenses for chemical dependency treatment facilities in Texas. This form should be used by entities seeking to establish or expand their chemical dependency treatment services.

The application requires key information about the facility, including its classification (e.g., alternative school, hospital, correctional facility), headquarters/corporate office details, and legal name of the applicant. The form also allows for changes in status, such as adding new residential sites or modifying treatment services. A license fee is required, which includes an initial base fee and site fees, with no refunds.

Important sections of the application include Headquarter/Corporate Office Information, where applicants must provide their legal name, federal tax ID number, and mailing and physical addresses. The form also outlines specific requirements for change in status applications, including providing a copy of IRS letters or certificates from the Texas Secretary of State's office.