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The listings below are PDF publications that can be
downloaded and printed from the Internet. To view
or print PDF files, Adobe Acrobat Reader must be
installed on your computer.
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
DBHS Form 6: ANNUAL REPORTING FORM FOR PRIVATE
PROVIDERS
To
be submitted on an annual basis postdated no later
than June 30, of the current year
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