Emergency Preparedness & Response

When a facility experiences an emergency and/or disaster resulting in an emergency closure and/or changes in daily operations and services provided, all licensed health facilities must complete and submit Form 3215, Emergency/Disaster Notification. During the emergency and/or disaster, facilities must first ensure the safety of patients/clients and then complete Form 3215 to notify HHSC of any resulting changes in the facility’s operation as soon as possible.

Note: Form 3215 is not a substitute for Form 1011, End Stage Renal Disease (ESRD) Facility Emergency Rule Exception Request. End Stage Renal Disease (ESRD) facilities requesting an emergency exemption to the ESRD licensing requirements must complete and submit Form 1011.