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pdfAttachment A1 - I-BHS Online State add/update forms
Screen 1: System choices
OMB No. 0930-xxxx
Expiration Date: xx/xx/xxxx
Screen 2: Choose to register a new facility or select a facility to update
Screen 3: Enter facility information
Screen 4A: Enter substance abuse treatment services (if applicable)
Screen 4B: Enter mental health treatment services (if applicable)
Screen 5: Enter Director's information
| File Type | application/pdf |
| File Title | SCREEN1.psd |
| Author | Leigh |
| File Modified | 2012-07-31 |
| File Created | 2012-07-25 |