Get Nd Dhs Sfn 811 2019

The ND DHS SFN 811 is a crucial form for organizations looking to become providers for the Free Through Recovery program. This guide will walk you through the process of completing the form online in a straightforward and user-friendly manner.

Follow the steps to fill out the ND DHS SFN 811 effectively.

1. Press the ‘Get Form’ button to access the ND DHS SFN 811 and open it in your web browser.
2. Fill in the Program Information section, including the provider's name, address, city, state, telephone number, and other required fields like the provider owner's name and contact details.
3. Complete the Additional Locations section if applicable, providing details for any additional provider locations, including their names, contact information, and estimated capacity of participants.
4. In the Services section, clearly indicate the services you will provide for monthly reimbursement, such as care coordination and recovery services.
5. Attach the required documents in the Attachments section, including the signed Free Through Recovery Behavioral Health Service Agreement, documentation of relationships with other organizations, and a certificate of insurance.
6. Sign the form in the Signature section, certifying that all information is true and accurate, and provide the date of signing.
7. After completing all sections, the form can be saved, downloaded, printed, or shared as needed.

Complete the ND DHS SFN 811 online today to assist in providing essential recovery services.