This version of the form is not currently in use and is provided for reference only. Download this version of Form 3226 for the current year.
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 3226?
A: Form 3226 is the Freestanding Emergency Medical Care Facility License Application in the state of Texas.
Q: What is a Freestanding Emergency Medical Care Facility?
A: A Freestanding Emergency Medical Care Facility is a facility that provides emergency medical care without being physically attached to a hospital.
Q: Who needs to submit Form 3226?
A: Any entity seeking a license to operate a Freestanding Emergency Medical Care Facility in Texas needs to submit Form 3226.
Q: What information is required on Form 3226?
A: Form 3226 requires information about the facility's name, address, contact information, ownership details, and operational plans.
Q: Are there any fees associated with Form 3226?
A: Yes, there is a non-refundable application fee associated with submitting Form 3226.
Q: How long does it take to process Form 3226?
A: The processing time for Form 3226 can vary, but applicants can expect it to take several weeks to months.
Q: Are there any additional requirements for obtaining a Freestanding Emergency Medical Care Facility license?
A: Yes, in addition to submitting Form 3226, applicants must also meet certain regulatory requirements and pass an inspection by the Texas Department of State Health Services.
Form Details:
Download a fillable version of Form 3226 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.