TX HHS Form 3211. Ambulatory Surgical Center License Renewal Addendum

The TX HHS Form 3211, Ambulatory Surgical Center License Renewal Addendum, is a crucial document for ambulatory surgical centers in Texas to renew their licenses. This form helps facilities provide the necessary information to demonstrate compliance with state regulations and maintain their operational permits.

This addendum requires facilities to provide essential details, including facility name, license number, administrator name, contact information, and accreditation status. The form also asks about Medicare certifications, treatment rooms, and procedure rooms. Key sections include Services, Accreditation, and Medicare Certifications. Facilities should use this form when renewing their licenses or updating their information with the Texas Health and Human Services (HHS).

The TX HHS Form 3211 is designed to help ambulatory surgical centers in Texas maintain compliance with state regulations and ensure continued operation. By completing this addendum, facilities can demonstrate their commitment to providing high-quality patient care while also meeting the necessary requirements for licensure renewal.