Provider Resources - Forms

NEW! BHSI Grievance and Appeal Form - for login access to the BHSI Provider Network.

Provider Resources - PA Department of Drug and Alcohol Programs

NEW! Drug and Alcohol Client Liability Determination Form - DDAP document for Client Liability (.pdf)

NEW! Client Liability Determination Form (Excel)

NEW! Request for Liability Reduction or Elimination Form-DDAP document for Client Liability Reduction