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 tool for healthcare facilities seeking to provide services off-site during the COVID-19 pandemic. This form helps solve the problem of ensuring that off-site facilities meet necessary requirements and guidelines, allowing them to continue providing essential care while minimizing risks.

The application requires key information about the requesting facility, including its name, address, contact details, and license type. Additionally, it asks for specifics about the off-site facility, such as its status, address, and license number (if applicable). The form also inquires about the services that will be provided at the off-site location and the type of facility being operated.

This form is typically used by healthcare facilities seeking to operate off-site during the COVID-19 pandemic. Key points to note include:

• The application requires information about the requesting facility, including its name, address, and contact details.
• The form asks for specifics about the off-site facility, such as its status, address, and license number (if applicable).
• The services provided at the off-site location must be described, along with the type of facility being operated.