TX HHS Form 3208. Chemical Dependency Treatment Facility Licensure Application Checklist for Initial Applicants

The TX HHS Form 3208 is a Chemical Dependency Treatment Facility Licensure Application Checklist for Initial Applicants. This form helps solve the problem of ensuring that chemical dependency treatment facilities meet the necessary requirements to operate legally in Texas. The form is typically used by initial applicants who want to obtain a license to operate a chemical dependency treatment facility.

The checklist requires applicants to submit specific information, including Form 3207, licensure fees, and supplemental documentation. Applicants must also provide proof of liability insurance, a certificate of occupancy, and a lease agreement or deed. Additionally, detoxification applicants only need to provide the name and license number of their medical director. The form emphasizes the importance of timely submission to ensure sufficient time for review and response.

To apply for a license, applicants must submit all required items and payment to the Texas Health and Human Services Commission at AR Mail Code 1470 P.O. Box 149055 Austin, Texas 78714-9055. The following key points summarize the requirements:

• Submit Form 3207, licensure fees, and this application checklist (Form 3208)
• Provide supplemental documentation as required by Texas Administrative Code
• Pay all fees in full by cashier's check or money order
• Meet specific requirements for proof of liability insurance, certificate of occupancy, lease agreement or deed, and medical director information (for detoxification applicants only)