TX HHS Form 3218. Multiple Location Psychiatric Hospital License Application

The TX HHS Form 3218, Multiple Location Psychiatric Hospital License Application, is a crucial document for healthcare providers seeking to establish or expand psychiatric hospital services across multiple locations. This form helps solve the problem of obtaining the necessary license from Texas Health and Human Services (HHS) to operate a psychiatric hospital.

This application requires key information about the hospital, including its name, mailing address, phone number, and fax number. The form also collects data on ownership, including the legal name of the direct owner, their area code and phone number, email address, and Social Security Number or Employer Identification Number (EIN) if applicable. Important sections include Section 1: Hospital Information and Section 2: Ownership Information.

The TX HHS Form 3218 is typically used when a healthcare provider wants to establish a new psychiatric hospital or expand existing services across multiple locations. The form must be completed accurately and thoroughly, as it serves as the primary application for obtaining a license from Texas HHS. By submitting this form, applicants can ensure compliance with state regulations and obtain the necessary authorization to operate their psychiatric hospital facilities.