TX HHS Form 3224. Freestanding Emergency Medical Care Facility License Renewal Application

The TX HHS Form 3224 is a Freestanding Emergency Medical Care Facility License Renewal Application designed to help facilities maintain their licensure status. This form is typically used by freestanding emergency medical care facilities seeking to renew their license with the Texas Health and Human Services (HHS) department.

The application requires facilities to provide information on ownership, accreditation, emergency treatment stations, fire safety surveys, medical staff, and SAFE-readiness. Specifically, facilities must attest that they have signed up for GovDelivery updates to receive important changes to the Freestanding Emergency Medical Care Facility Licensing Program. Facilities must also demonstrate compliance with annual fire safety inspections and provide proof of passing fire inspection reports.

To ensure licensure renewal, facilities must carefully complete this application by providing required information on ownership type, accreditation status, emergency treatment stations, and fire safety surveys. Additionally, facilities must attest to their SAFE-readiness and compliance with GovDelivery updates. By using the TX HHS Form 3224, freestanding emergency medical care facilities can ensure they meet the necessary requirements for licensure renewal.

• Required information: ownership type, accreditation status, emergency treatment stations, fire safety surveys, medical staff, and SAFE-readiness
• Conditions: annual fire safety inspections and GovDelivery updates
• Situations where the form is used: licensure renewal for freestanding emergency medical care facilities