Please complete this form and submit for approval.
All sections must be completed.
For complex projects, please arrange for a meeting or walk-through of the site prior to submission to assure we understand the scope and implications of the project.
To familiarize yourself or staff with the policy, see
01.38 Hospital Construction, Renovation and Demolition Policy.
For questions or further instruction, please contact our office at (409) 772-3192.