Skip to Main Content
Home
Go to TN.gov
Go to TN.gov
Section
Go to Mental Health & Substance Abuse Services (MHSAS)
Crisis Services
Mental Health
Mental Health Services for Adults
Children, Young Adults, and Families
Peer Recovery Services
Housing and Homeless Services
IPS Supported Employment
Peer Health and Wellness
Faith-Based Initiatives
Substance Abuse
Prevention
Treatment & Recovery
Criminal Justice Services
Medication Assisted Treatment
Faith-Based Initiatives
Hospitals
Patients & Families
Memphis
Middle Tennessee
Moccasin Bend
Western Mental Health Institute
Licensing
For Providers
Careers
Who We Are
Mission, Vision, and Values
Commissioner's Office
Contact Us
News
Calendar
Fast Facts
Print This Page
Print This Page
Go to Search
Licensing Forms
Initial Application
Change of Status Form
Fact Sheet Form
Financial Statement
Reportable Incident Form
Incident Reporting Requirements
Background Check and Non-Criminal Justice Privacy Rights Form
Close