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OASAS Certification Application

The OASAS Certification Application is 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.

The OASAS Certification Application and instructions are available to applicants as ".pdf" files in various options listed below. These files may be downloaded for viewing and printing by using Adobe® Acrobat® Reader. If you do not have Adobe Acrobat Reader, it is available, free of charge, from Adobe Systems, Inc.

Forms followed by Fillable PDF form icon below can be filled in on your computer using Adobe Acrobat Reader version 4.0 or later. Acrobat Reader DOES NOT allow you to save your completed, or partially completed, forms to a disk or on your computer.

The OASAS Certification Application has modular design features which require the preparation of specific parts of the application based on the type of actions being pursued by the applicant. Figure 1 in Chapter I of the instructions summarizes the requirements for preparation of the OASAS Certification Application. These options are also summarized in the Quick Reference Guide to the OASAS Chemical Dependence Certification Application.

Listed below are various download options which correspond to each action category in the first column of Figure 1. Based of the type of action for which the applicant is seeking OASAS approval, select one of the options below that corresponds to that action. By clicking on the option, Adobe Acrobat Reader will display the specific parts of the application that pertain to that action. You may then print out these parts of the application for your use in developing the application.

It is extremely important that applicants thoroughly review and use the Instructions that are available to all applicants for completing the Certification Application.

NOTE: Instructions listed below are provided in PDF format only.