This is a legal form that was released by the Texas Health and Human Services - a government authority operating within Texas. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form 3214?
A: Form 3214 is a notification form used in Texas for chemical dependency treatment facility satellite sites.
Q: What is a chemical dependency treatment facility satellite site?
A: A chemical dependency treatment facility satellite site is a location where addiction treatment services are provided under the same license or certification as the main facility.
Q: When is Form 3214 required to be submitted?
A: Form 3214 must be submitted at least 30 days before establishing a new satellite site or making changes to an existing satellite site.
Q: Who is required to submit Form 3214?
A: The owner or operator of a chemical dependency treatment facility is required to submit Form 3214.
Form Details:
Download a fillable version of Form 3214 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.