TX HHS Form 3220. COVID-19 Response Off-Site Facility Application

The TX HHS Form 3220, COVID-19 Response Off-Site Facility Application, is a crucial document for facilities seeking to provide services outside of their primary location in response to the COVID-19 pandemic. This form helps solve the problem of obtaining necessary approvals and certifications for off-site operations, ensuring continuity of care and public health safety.

The application requires essential information about the requesting facility, including its name, address, contact details, and license type. Key sections include Off-Site Facility Information, which captures data on the new location's status, address, and any relevant licenses or certifications. The form also asks for a description of services to be provided at the off-site location and specifies the types of facilities that can operate in this capacity.

This form should be used by facilities seeking to establish temporary or permanent off-site operations in response to the COVID-19 pandemic, particularly those providing essential healthcare services. The TX HHS Form 3220 is a critical tool for ensuring compliance with regulations and maintaining public health standards during this challenging time.