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DBHS Form 1: Qualification Form for RSPMI
Provider Certification
To be completed upon initial
application for DBHS RSPMI Certification
DBHS
Form 2: RSPMI Services and Resource Summary
DBHS Form 3: Qualification Form for RSPMI Re-Certification
To be submitted to renew DBHS certification after
receiving re-accreditation from the national
accrediting agency at the time of the new
accreditation cycle
DBHS Form 4: Notification of Site Closing or
Moving
See details on form for
defining relocation of site closing or moving
DBHS Form 5: Certification for Additional
Sites
To be submitted when a provider opens a new service
site
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