TX HHS Form 3250. Hospital Statute and Rule Waiver Request Application for Facility Physical Plant and Construction Requirements

The TX HHS Form 3250, "Hospital Statute and Rule Waiver Request Application for Facility Physical Plant and Construction Requirements," is a crucial tool for hospitals seeking to waive or modify specific requirements related to facility physical plant and construction. This form helps solve the problem of non-compliance with Texas Health and Safety Code Chapter 241, the Texas Hospital Licensing Law, or minimum standards adopted by Texas Health and Human Services (HHS) at Title 25 (25 TAC) Chapter 133, Hospital Licensing.

To use this form effectively, hospitals must provide required information such as their name, license number, physical street address, and ZIP code. They must also indicate whether they are licensed under a multiple-location hospital license and provide the main hospital's information if applicable. The waiver request section allows hospitals to select specific facility physical plant and construction requirements for which they wish to request a waiver.

This form should be used when a hospital needs to request a waiver or modification of a particular provision related to facility physical plant and construction. It is essential to note that separate forms must be submitted for each rule the hospital wishes to waive, and if the requested rule is not listed on this form, the hospital must complete Form 3249, Hospital Waiver Request.