Get Attud Treatment Program Website Listing: Application Form - Attud

Filling out the ATTUD treatment program website listing application form can be a straightforward process when you follow the correct steps. This guide will provide you with clear instructions on how to complete the application accurately and effectively.

Follow the steps to complete your application efficiently.

1. Press the ‘Get Form’ button to access the application form and open it in your preferred editor.
2. Begin by completing the 'Program Information & Overview' section, which includes the date of the application, full name of the individual treatment provider or program, organizational sponsor if applicable, and the program's address.
3. Fill in the 'Website URL' and contact information, ensuring that you supply accurate details like telephone, fax, and email address of the ATTUD member contact.
4. Indicate your sources of funding by checking all that apply from the provided options, and specify the year your treatment program was established.
5. Provide statistics regarding the number of tobacco users receiving treatment annually and the types of tobacco use that your program treats; be sure to select all applicable options.
6. Answer whether your treatment protocols are based on evidence-based guidelines, specifying the guidelines you follow.
7. Clarify the treatment costs, including whether pharmacotherapy is covered. List what is covered by this cost and detail the counseling sessions offered.
8. Specify the treatment medications provided by your program and whether alternative treatments are included in your approach.
9. Indicate if treatment specialists are trained to ATTUD's core competencies and whether there is oversight by medical staff.
10. Complete the 'Administrative Assurance' by confirming accuracy of the information provided and signing off on the application.
11. Finalize the application by either completing it with your electronic signature, saving it, and emailing to the contact provided. Alternatively, you can sign and scan the completed form to send via email.
12. After submitting your application, wait for 2 to 4 weeks for processing. You will be contacted once the review committee has processed your application.

Complete your application online today to ensure your treatment program is listed on the ATTUD website.