TX HHS Form 3249. Hospital Waiver Request

The TX HHS Form 3249, Hospital Waiver Request, is a crucial document that enables hospitals to request exemptions from specific provisions of the Texas Health and Safety Code Chapter 241, the Texas Hospital Licensing Law. This form helps solve the problem of non-compliance with certain regulations, allowing hospitals to provide alternative solutions that meet patient care needs while ensuring safety standards are maintained.

This waiver request form requires essential information, including applicant details, hospital name and address, license number, and contact information for administrators or designees. The form also highlights important sections, such as Section 2, which outlines the waiver request process in accordance with Texas Health and Safety Code Section 241.026(c) and Texas Administrative Code Title 25 (25 TAC) Section 133.81.

The TX HHS Form 3249 should be used by hospitals seeking to waive or modify specific requirements for physical plant or construction projects, as outlined in the form's instructions. Common scenarios of use include requesting exemptions from regulations related to domestic water distribution systems, soiled workrooms, and other facility requirements. By completing this form, hospitals can demonstrate compliance with Texas Health and Safety Code Chapter 241 while ensuring patient care and safety standards are met.