Get the free Form DHHS 224-E. Office-Based Opioid Treatment Application for Registration

Officiated Opioid Treatment Application for Registration (Form HHS 224E) NC Department of Health and Human Services Division of Mental Health, Developmental Disabilities, and Substance Abuse Services

How to fill out form dhhs 224-e office-based

How to fill out form dhhs 224-e office-based

1. Begin by gathering all the necessary information and documents required to fill out Form DHHS 224-E office-based.
2. Read through the form carefully, paying attention to any instructions or guidelines provided.
3. Start by providing your personal information, such as your name, contact details, and any relevant identification numbers.
4. Move on to the sections that require you to provide details about your office-based activities, such as the specific location, number of employees, and services provided.
5. Fill in any additional sections that are applicable to your situation, such as any previous office-based activities or any changes in ownership or management.
6. Double-check all the information you have entered to ensure its accuracy and completeness.
7. Once you are satisfied with the information provided, sign and date the form.
8. Make a copy of the completed form for your records.
9. Submit the filled-out form to the appropriate office or authority as instructed.

Who needs form dhhs 224-e office-based?

1. Form DHHS 224-E office-based is needed by individuals or businesses who are engaged in office-based activities.
2. This may include professional service providers, consultants, or any other entities that conduct their operations primarily from an office setting.
3. The form helps gather important information about these activities for regulatory or statistical purposes.

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What is form dhhs 224-e office-based?

Form dhhs 224-e office-based is a document used by healthcare providers to report office-based services to the Department of Health and Human Services.

Who is required to file form dhhs 224-e office-based?

Healthcare providers who offer office-based services are required to file form dhhs 224-e office-based.

How to fill out form dhhs 224-e office-based?

Form dhhs 224-e office-based can be filled out electronically or manually with the required information on office-based services provided by the healthcare provider.

What is the purpose of form dhhs 224-e office-based?

The purpose of form dhhs 224-e office-based is to track and monitor the office-based services offered by healthcare providers for regulatory and compliance purposes.

What information must be reported on form dhhs 224-e office-based?

Form dhhs 224-e office-based requires information such as the type of office-based services provided, number of patients served, and any relevant billing codes.