Exhibit 3.19

State of Delaware

Secretary of State

Division of Corporations

Delivered 03:48 PM 11/18/2013

FILED 02:46 PM 11/18/2013

SRV 131320257 – 5434140 FILE

CERTIFICATE OF FORMATION

OF

AUSTIN BEHAVIORAL HOSPITAL, LLC

Pursuant to Section 18-201 of the Delaware Limited Liability Company Act (the “Act”), the undersigned, desiring to form a limited liability company, does hereby certify as follows:

1. The name of the limited liability company is Austin Behavioral Hospital, LLC (the “Company”).

2. The address of the Company’s registered office in the State of Delaware is Corporation Trust Center, 1209 Orange Street, Wilmington, DE 19801. The name of the registered agent is The Corporation Trust Company.

3. This Certificate of Formation shall be effective upon filing with the Delaware Secretary of State.

IN WITNESS WHEREOF, the undersigned has executed this Certificate of Formation on this 14th of November, 2013.

Christopher L. Howard, Authorized Person