TX HHS Form 3228. Application for a License to Operate a General or Special Hospital

The TX HHS Form 3228 is an application for a license to operate a general or special hospital. This form helps healthcare providers obtain the necessary authorization to operate their facility in compliance with state regulations.

This form requires key information about the hospital, including its name, mailing address, and contact details. It also collects data on ownership, including the legal name of the direct owner or person responsible for day-to-day operations. The form distinguishes between different types of ownership structures, such as sole proprietorship, corporation, or partnership.

The application includes sections for hospital information, ownership details, and physician ownership (if applicable). It is essential to complete these sections accurately and thoroughly to ensure a smooth licensing process. This form should be used by hospitals seeking initial licensure or those undergoing changes in ownership or relocation.