Opiate Treatment Application Forms

These forms are used in addition to the application process for DBHR Certification and/or Accreditation as an Opiate Treatment Program Provider (OTP) in Washington State.

• OTP Application Addendum [PDF] or [Word] (fill-in form) 
   
• Community Relations Plan [PDF] or [Word] (fill-in form) 
   
• Community Relations Plan Attachment List [PDF] or [Word]
   
• DBHR Certification Procedure No. CS-21, OTP Certification/Accreditation Applications [PDF] or [Word] 
   
• Important Web Links for OTP Applicants [PDF] or [Word]
   
• OTP Critical Event Reporting Form  [PDF] 
  OTPs must use this form when reporting a critical event per WAC 388-805-150(12)(c) patient death in an OTP and WAC 388-805-005 Critical Event (8) An error in program administered medication requiring urgent medical intervention.

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