TX HHS Form 3219. Multiple Location Psychiatric Hospital License Renewal Application
The TX HHS Form 3219 is a Multiple Location Psychiatric Hospital License Renewal Application that helps solve the problem of renewing licenses for private psychiatric hospitals in Texas. This form is typically used by hospital administrators to provide information about their facilities and services, ensuring compliance with state regulations.
This application requires key information about the hospital's services and beds, including the number of licensed beds and emergency treatment room beds. The form also asks for a description of any major medical equipment and facilities used by the hospital, as well as a plan or campus map of the premises that outlines the buildings and grounds. Additionally, the form includes a requirement for a fire safety survey with a copy of a recent fire inspection report.
The TX HHS Form 3219 is an essential tool for private psychiatric hospitals in Texas to maintain their licensure status. By completing this application, hospital administrators can ensure that they are providing accurate information about their facilities and services, which helps to protect the health and well-being of patients. Key points to note include:
- The form is used by private psychiatric hospitals to renew their licenses.
- The application requires information about the hospital's services, beds, equipment, and facilities.
- A fire safety survey with a recent inspection report is also required.
