Children's Behavioral Health - Forms

Forms and instructions for accessing Children’s Behavioral Health Services


Application to Become a CBHS Service Provider

CBH Provider Website Update Form

PRTF Provider Application

CBHS Data Request Form

Reportable Events

EIS Staff/Provider Request Form

Individual Planning Funding Application


Home and Community Based Treatment HCT

Intensive Temporary Residential Treatment

Release Information

  • Authorization to Release Information (PDF* )
  • Guide to Using the OCFS Authorization to Release Information Form (PDF* )

Rehabilitative and Community Support Services for Children with Cognitive Impairments and Functional Limitations (RCS 28)

Targeted Case Management