Behavioral Health & Developmental Services Forms

Administrative Review Policy
Administrative Review Request Form
Adult Need Assessment Process
Adult Need Assessment Form
Authorization for Release of Information
CASSP Community Team Referral Form
CCRI Base Application Form
CCRI County Attestation Form
CCRI Enrollment Short Form
CCRI Provider Closure Form
Critical Incident Flowchart
Critical Incident Form
Critical Incident Instructions (Non- HCSIS)
Critical Incident Policy & Procedures
Death Report Form
ENGAGE Program Referral
Follow-up Form
HCSIS Reporting Procedures
OMHSAS Provider Enrollment Letter
Partial Provider Resource Directory
Request for Training/Event/Conference Form   Submit online
Root Cause Analysis (RCA) Form
Root Cause Analysis (RCA) Policy
STAR (Service Team for Adults in Recovery) Referral Form
STAR (Service Team for Adults in Recovery) Release Authorization
Child Family Center Brochure
IBHS Provider Listing
IBHS Referral and Release
Westmoreland County Letter