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Get Nd Dhs Sfn 811 2021-2026

Ecoming a provider for the Free Through Recovery (FTR) program. FTR is a state-funded program allowing individuals within the criminal justice system to have care coordination, recovery supports, including peer support, and improved access to behavioral health services. All services reimbursed through the program will assist individuals in achieving specific outcomes related to their individual needs while residing in their chosen community and provide supportive, engaging, person-centered, reco.

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How to fill out the ND DHS SFN 811 online

This guide offers step-by-step instructions for completing the ND DHS SFN 811 form online. Follow the outlined steps to ensure your application for the Free Through Recovery program is accurately filled out and submitted.

Follow the steps to successfully complete your application.

  1. Click the ‘Get Form’ button to access the ND DHS SFN 811 application form and open it for editing.
  2. In the Program Information section, fill in the provider name, address, city, state, and telephone number. Ensure all contact information, including the provider owner’s name and email address, is accurate.
  3. For Additional Locations, repeat the information entry for each additional location where services will be provided. Include provider name, address, contact name, and estimated capacity.
  4. Complete the Attachments section by listing all required documents, ensuring you have them ready for submission, such as the signed Free Through Recovery Behavioral Health Service Agreement and a completed W-9 Form.
  5. Once you have filled out all sections of the form, review everything for accuracy. Save your changes to ensure no information is lost.

Get started on your application by filling out the ND DHS SFN 811 online today.

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