TX HHS Form 3256. Chemical Dependency Treatment Facility Variance Request Application

The TX HHS Form 3256, Chemical Dependency Treatment Facility Variance Request Application, is a crucial document for treatment facilities seeking temporary exemptions from specific provisions of the Texas Administrative Code. This form helps facilities navigate the process of requesting variances to accommodate unique circumstances or challenges.

To complete this application, facilities must provide detailed information about themselves, including their name as it appears on the license, headquarters license number, and contact details for the chief executive officer or facility contact. Additionally, facilities must specify the exact provision(s) of Texas Administrative Code Title 26 (26 TAC) Chapter 564 they wish to request a temporary variance from, citing each provision when requesting variances for multiple provisions.

This form should be used by chemical dependency treatment facilities seeking temporary exemptions from specific statutory requirements. It is essential to note that approved variances will only be granted for a specified period and cannot be granted for statutory requirements. By submitting this application, facilities can ensure they are in compliance with regulatory requirements while also addressing unique challenges or circumstances.