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San Mateo County Behavioral Health & Recovery ServicesBHRS AOD Credentialing Form APPLICANT & AGENCY INFORMATION Email to Madeira Christensen Ychristensen@smcgov.org Information Must Be Completed
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How to fill out bhrs aod credentialing form
How to fill out bhrs aod credentialing form
01
Obtain the BHRS AOD credentialing form from the appropriate organization or website.
02
Fill out your personal information accurately, including your full name, contact information, and credentialing details.
03
Provide information about your education, training, and relevant experience in the field of behavioral health and substance abuse.
04
Attach any required documentation, such as copies of diplomas, certificates, or licenses.
05
Review the completed form for accuracy and completeness before submitting it for credentialing.
Who needs bhrs aod credentialing form?
01
Behavioral health professionals specializing in substance abuse treatment who are seeking credentialing in the field.
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What is bhrs aod credentialing form?
The bhrs aod credentialing form is a form used to credential providers who offer Behavioral Health Rehabilitation Services (BHRS) for individuals struggling with alcohol or other drug (AOD) abuse.
Who is required to file bhrs aod credentialing form?
Providers who offer BHRS services for individuals dealing with AOD abuse are required to file the bhrs aod credentialing form.
How to fill out bhrs aod credentialing form?
To fill out the bhrs aod credentialing form, providers need to provide information about their organization, services offered, credentials, and any certifications related to AOD treatment.
What is the purpose of bhrs aod credentialing form?
The purpose of the bhrs aod credentialing form is to ensure that providers offering BHRS services for AOD abuse meet the necessary qualifications and standards.
What information must be reported on bhrs aod credentialing form?
Information such as provider's organization details, services offered, credentials, and any certifications related to AOD treatment must be reported on the bhrs aod credentialing form.
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