Titanium and its alloys have been widely used as biomaterials for hard tissue replacements because of their excellent mechanical properties and biocompatibility. However, the bonding between their surfaces and bone is not enough after implantation. The bioactive surface modification such as a hydroxyapatite (HAp) coating on their surfaces has been investigated. Recently, a simple method for forming HAp layer on the surfaces of titanium and its alloys has been developed. This method is called as alkaline treatment process. In this method, HAp deposits on the surfaces of titanium and its alloys by dipping into simulated body fluid (SBF) after an alkaline solution treatment that is followed by a baking treatment (alkaline treatment). This process is applicable to newly developed beta-type Ti-29Nb-13Ta-4.6Zr alloy (TNTZ) for biomedical applications achieving bioactive HAp modification. In this study, the morphology of the HAp layer formed on the surface of TNTZ was investigated after various alkaline treatments followed by dipping in SBF. The formability of HAp on the surface of TNTZ was then discussed. The formability of HAp on TNTZ is much lower than that of commercially pure Ti, Ti-6Al-4V ELI and Ti-15Mo-5Zr-3Al alloys, which are representative metallic biomaterials. The formability of HAp on TNTZ is improved by increasing the amount of Na in the sodium titanate gels formed during an alkaline solution treatment where the NaOH concentrations and the dipping time are over 5 M and 172.8 ks, respectively. The formability of HAp on TNTZ is considerably improved by dipping in a 5 M NaOH solution for 172.8 ks. This condition for alkaline solution treatment process is the most suitable for TNTZ.