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STATE OF MAINE DEPARTMENT OF HEALTH AND HUMAN SERVICES DIVISION OF LICENSING AND CERTIFICATIONBehavioral Health ProgramSECTION 1: Agency Information Agency Name:Substance Abuse Change Application
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How to fill out substance abuse change application

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How to fill out substance abuse change application

01
To fill out a substance abuse change application, follow these steps:
02
Obtain a copy of the application form. This can usually be found on the website of the organization or agency responsible for substance abuse programs.
03
Read the instructions carefully to understand the requirements and necessary documents for the application.
04
Gather all the required documents, such as identification proof, medical records, treatment history, and any other relevant paperwork.
05
Fill out the application form completely and accurately. Make sure to provide all the requested information, including personal details, contact information, and the reason for seeking a change in substance abuse program.
06
Double-check the form for any errors or missing information before submitting.
07
Submit the completed application along with all the supporting documents to the designated office or address mentioned in the instructions.
08
Keep a copy of the application and the supporting documents for your records.
09
Wait for the decision on your application. The processing time may vary, so be patient.
10
Follow up with the organization or agency if you haven't received a response within the expected time frame.
11
If your application is approved, you may be required to attend an intake appointment or take further actions as per the instructions provided.
12
Note: It is always recommended to contact the relevant organization directly or consult with a professional for accurate and updated guidance on filling out a substance abuse change application.

Who needs substance abuse change application?

01
The substance abuse change application is typically needed by individuals who are currently enrolled or participating in a substance abuse program and wish to make changes to their program. This may include individuals who want to switch to a different treatment facility, modify their treatment plan, or transfer to another program that better suits their needs. The specific eligibility criteria and requirements for the application may vary depending on the organization or agency responsible for the substance abuse programs.
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Substance abuse change application is a form used to request changes to substance abuse treatment plans.
Substance abuse treatment facilities and providers are required to file substance abuse change applications.
Substance abuse change application can be filled out online or submitted in person at the designated office.
The purpose of substance abuse change application is to ensure that treatment plans are up to date and meeting the needs of the individual.
Information such as the reason for the change, updated treatment goals, and any new interventions must be reported on substance abuse change application.
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