Form 3720 tx-2025

See details

4.6 out of 5

41 votes

The document is a provider letter from Chris Traylor, dated March 15, 2010, announcing the implementation of a revised Form 3720 for the application for state licenses to operate long-term care facilities, effective April 1, 2010. The changes aim to improve clarity and address complex ownership structures in health care. The new form will be used for initial and change of ownership licenses with effective dates on or after May 1, 2010, as well as for license renewals effective September 1, 2010, or later. Key modifications include clearer identification of ownership and management structures, real estate information requirements, and updated disclosure requirements.

Here's how it works

01. Edit your form 3720 online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out form 3720 tx with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open it in the editor.
Begin with Items 1-5 on the front page, which have been reformatted for clarity. Ensure you provide accurate information as these are foundational details.
For Items 6 & 7, clearly identify all controlling persons and the ownership and management structures of your facility. This section is crucial due to complex ownership structures.
In Item 8, include any other controlling persons not listed in previous sections. This ensures full transparency regarding your facility's management.
Item 9 requires real estate information. Specify the ownership status and legal circumstances of your property, such as lease agreements or ownership rights.
Update Item 10 with disclosure requirements. If you operate multiple facilities, only list those not licensed by DADS.
Complete Item 11 regarding local fire authority approval, ensuring compliance with safety regulations.
Finally, review Item 12 and sign the affidavit confirming that your application is complete and correct before submitting it through our platform.

Start filling out Form 3720 tx today for free using our editor!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Can I draw my eSignature to approve my form 3720 tx?

Sure, electronically drawing your signature is appropriate, but only if you use a tool that complies with industry laws and regulations. Consider DocHub, which ensures eSignature validity under ESIGN and UETA requirements. All you need to approve your form 3720 tx electronically is an account with DocHub and an internet connection. Once you open your file in our editor, click Sign and choose the Draw option.

How do you create an e-signature for the form 3720 tx on iOS?

Apart from an extensive toolset for editing PDFs on mobile devices, DocHub enables you to sign your form 3720 tx along the way. Open our editor in your browser, make changes using DocHub’s toolset, and finish your editing by eSigning the finished form.

How to qualify for assisted living in Texas?

The Texas Health and Human Services Commission licenses ALFs based on its residents physical and mental ability to leave the facility in an emergency and whether they require nighttime attendance.

Try more PDF tools