TX HHS Form 3273. General and Special Hospital License Designation Change Application

The TX HHS Form 3273, General and Special Hospital License Designation Change Application, is a crucial document for hospitals in Texas seeking to modify their license designation. This form helps solve the problem of updating hospital services and designations to ensure compliance with state regulations.

This application requires hospitals to provide detailed information about their services, facilities, and beds. Key features include selecting the desired license designation (General or Special), providing hospital information, and listing the services offered after the designation change. The form also asks specific questions about emergency department requirements, pediatric care, and end-stage renal disease (ESRD) acute services.

By completing this application, hospitals can ensure they are meeting the necessary requirements for their license designation change. This form is typically used by hospital administrators or licensing officials to facilitate the process of updating a hospital's license designation. Key points to note include:

• The form requires hospitals to select a new license designation (General or Special) and provide supporting information.
• Hospitals must list the services they will offer after the designation change, including medical, surgical, obstetrical care, clinical laboratory services, diagnostic X-ray services, and emergency department requirements.
• The form asks specific questions about ESRD acute services, pediatric care, and other definitive medical or surgical treatment.