Regional Field Office | Phone | Fax |
---|---|---|
Central Field Office | 717-705-8395 | 717-705-8386 |
Northeast Field Office | 570-963-4335 | 570-963-3050 |
Southeast Field Office | 610-313-5844 | 610-313-5845 |
Southwest Field Office | 412-565-5226 | 412-565-5393 |
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Mental Health Programs Licensing Resources
Forms
- Human Services Licensing Application for Licensure
- Application Instructions for OMHSAS Providers
- HS 2126: Civil Right Compliance Form — (New Providers)
- HS 2125: Civil Rights Compliance Attestation Form — HS 2125 (Renewals)
- Information and Guidelines for Providers Regarding Waiver Submissions
- OMHSAS Request for Waiver Form
- Revised Procedure for Waiver of OMHSAS Regulations and Standards