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

The TX HHS Form 3224, Freestanding Emergency Medical Care Facility License Renewal Application, is a crucial document for healthcare facilities seeking to renew their licensure as freestanding emergency medical care facilities in Texas. This form helps solve the problem of ensuring compliance with state regulations and maintaining licensure status.

This application requires key information about the facility's ownership type, accreditation status, emergency treatment stations, fire safety surveys, medical staff, and SAFE-ready facility designation. Section 1 asks for details on ownership type, while Section 2 requests a copy of the most recent letter or certificate of accreditation. Sections 3-5 gather data on emergency treatment stations, fire safety inspections, and medical staff information.

The form also includes a section (7) that requires the applicant to attest that they have signed up for GovDelivery updates to receive important changes to the Freestanding Emergency Medical Care Facility Licensing Program. This application should be used by freestanding emergency medical care facilities seeking to renew their licensure with TX HHS.