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New York State Office of Alcoholism and Substance Abuse Services Link to New York State Office of Alcoholism and Substance Abuse Services Home Page

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OASAS Provider Forms

Please complete all fillable forms (Fillable PDF Document) online to ensure legibility and print to obtain required signatures as needed. This will help to expedite requests.

Unless otherwise noted, the forms available through this page are in PDF format and can be viewed and printed using Adobe Acrobat® Reader™. The PDF forms marked with the Fillable PDF Document icon are fillable and have been enabled with "document rights" which will allow you to save what you have filled in on your PC. Version 6.05 or later of Adobe Reader is required.

For information regarding how to obtain a hard copy of the forms provided below, please contact your local Field Office.

Certification Application and Review Documents

Used by service providers, excluding those providers subject to Article 28 of the Public Health Law, to request prior OASAS approval for specific actions related to (1) the certification of new chemical dependence treatment services or (2) changes in the circumstances under which currently certified chemical dependence treatment services are provided.

IDMS Forms

Forms associated with OASAS' Impaired Driver Services.

IPR Forms

Forms and tools associated with the Independent Peer Review process.

IRM-15 Form Editable PDF Icon (Updated 11/14)

The OASAS External User Access Request is used to request access to OASAS' automated systems.

LAC Forms

Language Access Services Complaint Form - Available in English, Chinese (Traditional), Haitian-Creole, Italian, Korean, Russian, and Spanish.

PAS Forms

These forms are used to report program activities and services, client demographics and fiscal and programmatic accountability.

PAS-xxG Forms and PAS-xxN Forms are available on the Client Data System.

PAS Housing Forms (PAS-xxH)

These forms are available for Housing Providers to use in establishing and maintaining participant files and tracking/reporting rental assistance and other program expenses.

PDS Forms

Forms associated with the activities which are related to the development and enhancement of the staff who provide services associated with the prevention and treatment of alcoholism and substance abuse. Included are such activities as training, professional development, and credentialing.

PPD Forms

These forms are used to assess preliminary certification proposals.

PR Forms

Prevention forms.

Regulatory Forms Category

The Regulatory Forms category has been updated and now contains forms and resources related to the following regulations: Part 816, Part 817, Part 818, Part 819, Part 822, Part 823, and Part 857.

SQA Forms

These forms are associated exclusively with the collection of data to document and evaluate provider compliance with OASAS statutory and regulatory requirements.

TRS Forms

Includes a variety of forms for program operations, including client consent forms that comply with 42 CFR and HIPAA requirements