TX HHS Form 3213. Birthing Center License Renewal Addendum

The TX HHS Form 3213, Birthing Center License Renewal Addendum, is a crucial document for birthing centers seeking to renew their license. This form helps solve the problem of ensuring that all licensed professionals providing services at the facility are properly documented and up-to-date.

This addendum requires key information, including the name of the facility, its license number, and contact details such as area code and phone number, email address, and personnel information. Specifically, it asks for the names, license numbers, and expiration dates of all licensed professionals, including physicians, certified nurses/midwives, and licensed midwives.

The form also requires additional documentation, specifically a copy of the organizational structure of staff and a written plan for orderly transfer of patients and clinical records in the event the facility is unable to maintain services under its license. This addendum should be used when renewing a birthing center's license, ensuring that all necessary information is provided to facilitate a smooth renewal process.