TX HHS Form 3227. Special Care Facility License Application

The TX HHS Form 3227, Special Care Facility License Application, is a crucial document for facilities providing specialized care services. This form helps licensees demonstrate compliance with regulatory requirements, ensuring the safe and effective operation of their facilities.

This application requires facility information, including the doing business as (DBA) or assumed name, street address, mailing address (if different), area code and phone number, and fax number. The form also collects ownership information, such as the legal name, mailing address, employer identification number (EIN), social security number (for sole proprietors), and email address. Note that attachments are required for certain documentation, including IRS letters, certificates of filing, and organizational charts.

The TX HHS Form 3227 should be used by special care facilities seeking to obtain or renew a license from the Texas Health and Human Services (HHS). The form is designed to provide detailed information about the facility's operations, ownership structure, and contact details. By completing this application, facilities can demonstrate their commitment to providing high-quality services while ensuring compliance with relevant regulations.