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Application for Methadone Program Licensure Department of Mental Health and Addiction Services Licensure and Certification, 30 E Broad Street, Suite 742 Columbus, Ohio 432153430 For use ONLY by a

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What is application for methadone program?

The application for methadone program is a form that individuals must fill out to participate in a methadone treatment program.

Who is required to file application for methadone program?

Individuals who are seeking to enroll in a methadone treatment program are required to file the application.

How to fill out application for methadone program?

The application for a methadone program can be filled out online or in person at the treatment facility. It requires personal information, medical history, and agreement to program guidelines.

What is the purpose of application for methadone program?

The purpose of the application is to assess the individual's eligibility for the methadone program and to ensure they understand the program guidelines.

What information must be reported on application for methadone program?

The application requires personal information, medical history, current drug use, and agreement to program guidelines.

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