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. This form helps solve the problem of ensuring that these facilities maintain their licensure and accreditation status while providing essential information about their services, staff, and operations.

This addendum requires key information such as the facility's name, license number, administrator's details, and contact information. It also asks for a list of surgical specialties offered at the facility, which helps identify the types of procedures performed. Additionally, the form inquires about accreditation status, with options to attach proof of accreditation from recognized agencies like AAAHC or HFAP.

The form is typically used by ambulatory surgical centers in Texas when renewing their license and seeking to maintain compliance with state regulations. The TX HHS Form 3211 helps ensure that these facilities meet the necessary standards for patient care, safety, and quality of service. Key points to note include:

• The form is used for ambulatory surgical center license renewal in Texas.
• It requires information about facility services, staff, and operations.
• Accreditation status must be reported, with proof attached if applicable.