TX HHS Form 3209. Chemical Dependency Treatment Facility Licensure Application Checklist for Change in Status Applicants

The TX HHS Form 3209 is a Chemical Dependency Treatment Facility Licensure Application Checklist for Change in Status Applicants. This form helps licensed chemical dependency treatment facilities seeking to add a new site or make changes to their existing facility by providing a comprehensive checklist of required information and documentation.

This application checklist should be used when a currently licensed chemical dependency treatment facility wants to modify its status, such as adding a new location or making changes to an existing one. The form requires applicants to submit Form 3207, Chemical Dependency Treatment Facility License Application, applicable license fees, this application checklist (Form 3209), and supplemental documentation.

The key features of this form include the required information and documentation, such as proof of liability insurance, a floor plan, and an inspection by the local certified fire inspector or state fire marshal. The form also highlights important sections, such as the facility's operational plan and certificate of occupancy. Additionally, it mentions common scenarios of use, such as adding a new site or making changes to an existing one.