I-BHS Facility Application Form for Behavioral Health Services
The I-BHS Facility application form is a critical document for facilities to apply for inclusion in SAMHSA's Inventory of Behavioral Health Services. This form captures vital information about the facility and the services provided. Make sure to review the instructions carefully before completing the application.
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How do I fill this out?
To fill out the I-BHS Facility application form, start by entering the facility's information, including name and address. Next, specify the services provided by checking the applicable boxes. Once complete, either submit the form online or print and fax it to the designated office.
How to fill out the I-BHS Facility Application Form for Behavioral Health Services?
1
Read the instructions carefully.
2
Enter all required facility information.
3
Select the services your facility provides.
4
Review the form for accuracy.
5
Submit the form online or via fax.
Who needs the I-BHS Facility Application Form for Behavioral Health Services?
1
Mental health facilities that want to be recognized for their services.
2
Substance abuse treatment centers aiming to improve service visibility.
3
New behavioral health facilities seeking inclusion in state registries.
4
Veterans Affairs facilities that provide mental health support.
5
Non-profit organizations offering community-based mental health services.
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What are the instructions for submitting this form?
To submit the I-BHS Facility application form, you may complete it online and click 'Submit Form', or print the form and send it via fax at (703) 528-8990. Alternatively, you can mail your completed application to the I-BHS Project Office at Synectics for Management Decisions, Inc., 1901 North Moore St., Suite 900, Arlington, VA 22209. For any inquiries, you can reach the Project Office toll-free at 1-888-301-1143.
What are the important dates for this form in 2024 and 2025?
For the I-BHS Facility application form, be aware of the effective date of January 1, 2013. Ensure your application is current and in compliance with the guidelines set forth in the latest OMB statements.
What is the purpose of this form?
The purpose of the I-BHS Facility application form is to facilitate the inclusion of behavioral health facilities in the SAMHSA's Inventory of Behavioral Health Services. This inventory serves as a comprehensive resource for locating facilities that offer substance abuse and mental health services. By completing this application form, facilities can enhance their visibility and accessibility to those in need of behavioral health support.
Tell me about this form and its components and fields line-by-line.
- 1. Facility Name: The name of the facility as it is formally recognized.
- 2. Street Address: The physical location where services are provided.
- 3. City: The city where the facility is located.
- 4. State: The state in which the facility operates.
- 5. Services Provided: A checklist of the services that your facility offers.
What happens if I fail to submit this form?
If you fail to submit the I-BHS Facility application form, your facility may miss the opportunity to be included in the SAMHSA's recognized database. This could result in decreased visibility and accessibility for individuals seeking behavioral health services.
- Loss of Recognition: Without submission, your facility will not be recognized in the I-BHS.
- Decreased Access: Potential clients may not find your services if you’re not listed.
- Compliance Issues: Failure to submit could lead to regulatory compliance concerns.
How do I know when to use this form?
- 1. New Facilities: Newly established behavioral health facilities need to apply for recognition.
- 2. Service Updates: Existing facilities should update their information when services change.
- 3. Regulatory Compliance: Any facility required to maintain compliance with SAMHSA standards.
Frequently Asked Question
What is the purpose of the I-BHS Facility application form?
The form is used to apply for inclusion in SAMHSA's Inventory of Behavioral Health Services.
Who needs to fill out this application?
Mental health and substance abuse treatment facilities seeking recognition should fill out this form.
How do I submit the application?
You can submit the application online or print and fax it to the I-BHS Project Office.
Can I edit the PDF on PrintFriendly?
Yes, PrintFriendly allows for easy editing of the PDF document.
Is there a deadline for submission?
There is no specific deadline, but timely submission is encouraged.
Can I save my edited PDF?
Yes, you can download your edited PDF after making the changes.
What if I make a mistake on the form?
You can edit the form anytime in PrintFriendly before submission.
Is there support available if I have questions?
Yes, you can contact the I-BHS Project Office for assistance.
What information is required on the form?
The form requires facility details, services offered, and contact information.
Can I share the completed application?
Yes, PrintFriendly provides easy sharing options after editing.
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