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Home > Providers > Resources and information > Substance use forms

Substance Use Forms

  • Best Practice Discharge Planning Checklist (DOC)
  • Discharge Management Plan (Template) (DOC)
  • Certified Recovery Specialist Authorization Request/Discharge Form (PDF)
  • Substance Use Disorder IOP Authorization Request and Discharge Form (PDF)
  • Substance Use Out-of-Network Prior Authorization Request Form (PDF)
  • Targeted Case Management (TCM) Substance Use Disorder (SUD) Authorization Request Form (PDF)
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