TX HHS Form 3259. Chemical Dependency Treatment Facility Court Commitment or Emergency Detention Acceptance Application

The TX HHS Form 3259, Chemical Dependency Treatment Facility Court Commitment or Emergency Detention Acceptance Application, is a crucial document for chemical dependency treatment facilities seeking to accept court commitments or emergency detentions. This form helps solve the problem of ensuring that facilities meet the necessary requirements and regulations to provide appropriate levels of services.

The application requires facility information, including name, site license number, headquarters license number, chief executive officer (CEO) name and title, area code and phone number, and email address. Facilities must also select all categories for which they are currently licensed and seeking approval to accept court commitments or emergency detentions. These categories include emergency detention, adult inpatient involuntary commitments, adult outpatient involuntary commitments, juvenile inpatient commitments, and juvenile outpatient commitments.

The CEO attests that the facility meets the requirements of 26 TAC Section 564.1301, Court Commitment Services, and swears or affirms that all information contained in this application is true and correct. The form also includes a section for GovDelivery updates, allowing facilities to receive notices on important changes to the Chemical Dependency Counselor license.

• The form is used by chemical dependency treatment facilities seeking to accept court commitments or emergency detentions.
• Facilities must provide facility information and select categories for which they are licensed and seeking approval.
• The CEO attests that the facility meets requirements and swears or affirms the accuracy of application information.