Form F-02564 Mental Health or Substance Use Treatment Provider Initial Certification Application - DHS 40 and DHS 50 - Wisconsin

Form F-02564 Mental Health or Substance Use Treatment Provider Initial Certification Application - DHS 40 and DHS 50 - Wisconsin

What Is Form F-02564?

This is a legal form that was released by the Wisconsin Department of Health Services - a government authority operating within Wisconsin. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form F-02564?
A: Form F-02564 is the Mental Health or Substance UseTreatment Provider Initial Certification Application.

Q: What is DHS 40 and DHS 50?
A: DHS 40 is the Mental Health or Substance Use Treatment Provider Initial Certification Application and DHS 50 is the Application Addendum for Mental Health or Substance Use Treatment Provider.

Q: Who needs to fill out Form F-02564?
A: Any mental health or substance use treatment provider who wants to obtain initial certification needs to fill out Form F-02564.

Q: What is the purpose of the initial certification application?
A: The purpose of the initial certification application is to apply for certification as a mental health or substance use treatment provider.

Q: Is Form F-02564 specific to Wisconsin?
A: Yes, Form F-02564 is specific to the state of Wisconsin.

Q: Is Form F-02564 for individuals or organizations?
A: Form F-02564 is for organizations or facilities that provide mental health or substance use treatment services.

Q: Are there any required attachments for Form F-02564?
A: Yes, there are several required attachments that need to be submitted along with Form F-02564. These attachments include organizational documents, financial records, service description, and policies and procedures.

Q: How long does it take to process the initial certification application?
A: The processing time for the initial certification application can vary, but it typically takes several weeks to review and approve the application.

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Form Details:

  • Released on September 1, 2020;
  • The latest edition provided by the Wisconsin Department of Health Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form F-02564 by clicking the link below or browse more documents and templates provided by the Wisconsin Department of Health Services.

Download Form F-02564 Mental Health or Substance Use Treatment Provider Initial Certification Application - DHS 40 and DHS 50 - Wisconsin

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  • Form F-02564 Mental Health or Substance Use Treatment Provider Initial Certification Application - DHS 40 and DHS 50 - Wisconsin

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  • Form F-02564 Mental Health or Substance Use Treatment Provider Initial Certification Application - DHS 40 and DHS 50 - Wisconsin, Page 1
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