TX HHS Form 3263. Crisis Stabilization Unit License Application

The TX HHS Form 3263, Crisis Stabilization Unit License Application, is a crucial document for organizations seeking to establish or operate a crisis stabilization unit in Texas. This form helps solve the problem of obtaining the necessary license from the Texas Health and Human Services (HHS) to provide essential services.

The application requires key information about the crisis stabilization unit, including its location within a hospital, doing business as (DBA) name, mailing address, phone and fax numbers. Additionally, the form seeks ownership information, such as the legal name of the direct owner, area code and phone number, email address, and employer identification number (EIN). The application also includes sections for providing IRS letters assigning the EIN, certificates of filing from the Office of the Secretary of State, and organizational charts showing ownership structure.

This form should be used by organizations seeking to establish or operate a crisis stabilization unit in Texas. It is essential to complete this form accurately and thoroughly to ensure that the application for licensure is successful. The TX HHS Form 3263, Crisis Stabilization Unit License Application, is a critical step in obtaining the necessary license from the Texas Health and Human Services (HHS) to provide vital services.