Get Md Comar 10.47 2011

Completing the MD COMAR 10.47 application form is essential for organizations seeking certification in alcohol and drug treatment services. This guide will provide you with step-by-step instructions on how to accurately fill out the form online, ensuring a smooth submission process.

Follow the steps to complete the application accurately.

1. Press the ‘Get Form’ button to access the application, which you will open in your preferred editor.
2. Begin by filling out the ownership and emergency contact information. Provide the legal name of the business or owner, mailing address, and contact details, ensuring that they are accurate and complete.
3. Next, detail the current certification information. Enter the current certification number and the expiration date. If the application is for an initial certification, check the appropriate box.
4. Indicate the type of certification requested. You may select multiple options such as initial certification, renewal of general certification, or changes in ownership.
5. Complete the current service level certification section. Specify the number of patients served in various categories: outpatient, residential, detoxification, and opioid maintenance therapy.
6. If adding or changing service levels, fill out the new level requests section in the same manner as the previous step.
7. Provide staffing information, including names and contact details of program administrators, medical directors, and clinical supervisors as required.
8. Attach the general supporting documentation required for your application, including the governing body roster and organizational chart.
9. Finally, complete the required statistics section. Ensure you provide accurate numbers concerning the patients receiving services at the time of application. Check off any relevant language or communication services and funding sources.
10. After filling out all sections, review the form for any errors or omissions. Save your changes, download it for your records, and proceed to print or share the completed form as needed.

Start filling out your MD COMAR 10.47 application online today to ensure your organization stays compliant and certified.