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Form F-00514 Community Substance Abuse Service (Csas) Medically Monitored Treatment Service Initial Certification Application - Wisconsin
What Is Form F-00514?
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-00514?
A: Form F-00514 is the initial certification application for Community Substance Abuse Service (CSAS) Medically Monitored Treatment Service in Wisconsin.
Q: What is CSAS?
A: CSAS stands for Community Substance Abuse Service.
Q: What does Medically Monitored Treatment Service refer to?
A: Medically Monitored Treatment Service refers to a specific type of substance abuse treatment that involves close medical monitoring.
Q: Who should fill out Form F-00514?
A: Providers who wish to obtain initial certification for CSAS Medically Monitored Treatment Service should fill out this form.
Q: What is the purpose of Form F-00514?
A: The purpose of Form F-00514 is to apply for initial certification to provide CSAS Medically Monitored Treatment Service.
Q: Are there any fees associated with the application?
A: Yes, there are fees associated with the application. The current fee amount can be found on the application form.
Q: What documents or information are required to be submitted along with the application?
A: The application requires submission of various documents and information, as specified in the form instructions. These may include the organizational chart, medical director agreement, proposed medical protocols, and additional supporting documentation.
Q: How long does it take to process the application?
A: The processing time for the application varies. It is recommended to submit the application well in advance of the desired start date.
Q: Who can I contact for further assistance or questions regarding the application?
A: For further assistance or questions regarding the application, you can contact the Wisconsin Department of Health Services directly.
Form Details:
- Released on May 1, 2013;
- 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-00514 by clicking the link below or browse more documents and templates provided by the Wisconsin Department of Health Services.
Download Form F-00514 Community Substance Abuse Service (Csas) Medically Monitored Treatment Service Initial Certification Application - Wisconsin
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