Providers
- 2019 Compliance, Fraud, Waste and Abuse Training
- 2019 HIPAA Training
- CMS 1500
- Individualized Rating Scale for ECT Response Monitoring
- Case Closure Form
- Application Request Form
- Change of Information Form
- W9
- Direct Deposit
- Psychological-Neuropsychological Testing Request Form
- Discharge Orders Fax Form
- EAP Provider Satisfaction Survey
- Mental Health Continued Stay Review Fax Form – In or Out of Network Facility
- Mental Health Initial Review Fax Form – In Network Facility Only
- Mental Health Initial Review Fax Form – Out of Network – Network Facility Only
- Substance Abuse Initial Review Fax Form – Out of Network – Network Facility Only
- Substance Abuse Continued Stay Review Fax Form – In or Out of Network Facility
- Substance Abuse Initial Review Fax Form – In Network Facility Only