Find an Official Agency Form Filter by form type. Search using a form number or keyword to narrow the results.
Image of a report. Professional Development (PDS) CPP 30-Hour Gambling Core Curriculum (PDS-17.6, Part E) Application and information for providing the problem gambling core curriculum with a prevention focus. Download about CPP 30-Hour Gambling Core Curriculum (PDS-17.6, Part E)
Image of a report. Professional Development (PDS) CPS 120-Hour Certificate Program (PDS-17.5, Part D) CPS 120-hour Certificate Program Information Download about CPS 120-Hour Certificate Program (PDS-17.5, Part D)
Image of the outline of New York State. Consent and Authorization (TRS) Credentialing Candidate Consent for Fingerprinting TRS-53 TRS-53 Required as part of the criminal background check process for all prospective credentialed individuals. Multiple languages available. Learn more about Credentialing Candidate Consent for Fingerprinting TRS-53
Image of a report. Reporting (PAS) Criminal Background Check Waiver Form (PAS-123) To request a waiver of the fingerprint requirement if an applicant has been printed for another OASAS provider within the last three months. Download about Criminal Background Check Waiver Form (PAS-123)
Image of a report. Certification (PPD) Deeming Initiative for Inpatient Rehabilitation and Withdrawal an... Attestation form for hospital-based 816 and 818 certified programs to participate in OASAS deeming initiative. Download about Deeming Initiative for Inpatient Rehabilitation and Withdrawal and Stabilization Programs
Image of a report. Regulatory Compliance (QA, TA, SQA) Deeming Initiative for Outpatient and Opioid Treatment Programs Attestation form for hospital-based Part 822 certified outpatient program to participate in OASAS deeming initiative. Download about Deeming Initiative for Outpatient and Opioid Treatment Programs
Image of a report. Regulatory Compliance (QA, TA, SQA) Discharge Plan (TAG-08) Sample discharge plan for problem gambling treatment. Download about Discharge Plan (TAG-08)
Image of a report. Reporting (PAS) Discharge Record (PAS-64B) This Discharge Record is to be completed at the conclusion of counseling services. Download about Discharge Record (PAS-64B)
Image of a report. Regulatory Compliance (QA, TA, SQA) Discharge Referrals (TAG-09) Sample discharge referrals and recommendations for gambling treatment. Download about Discharge Referrals (TAG-09)
Image of a report. Professional Development (PDS) Distance Learning Certification Criteria for Standardized Curricu... Criteria for submission of individual course work and training offered in the distance learning format. Download about Distance Learning Certification Criteria for Standardized Curriculum (PDS-17.0SC)