Skip Navigation LinksDDAP > For Professionals > For Gambling Treatment Providers

For Gambling Treatment Providers

The Department of Drug and Alcohol Programs (DDAP) contracts with licensed agencies and private practice clinicians to provide outpatient gambling counseling services to at-risk adults and adolescents, as well as those with a gambling disorder.  Family members and significant others of the gambler may also be eligible to receive outpatient services.

  

  
  
  
Gambling Admission Treatment Form.doc
  
2/4/2016 8:48 AM
Gambling Authorization Request Form.docx
  
2/8/2016 11:12 AM
Gambling Discharge Treatment Form.docx
  
3/29/2016 10:46 AM
Gambling Invoice Form.docx
  
10/15/2015 12:17 PM
Gambling Liability Form.docx
  
10/15/2015 12:18 PM
Gambling Re-Authorization Request.doc
  
10/15/2015 12:18 PM
Grievance and Appeal Form.docx
  
3/23/2016 12:44 PM
PPA Enrollment Application Checklist.doc
  
10/15/2015 12:15 PM
Provider Enrollment Application - Agency.docx
  
3/17/2016 9:13 AM
Provider Enrollment Application - Individual.docx
  
3/17/2016 9:13 AM
Provider Enrollment Application - Staff.docx
  
3/17/2016 9:13 AM
South Oaks Gambling Screen Adolescents.docx
  
10/15/2015 12:20 PM
South Oaks Gambling Screen Spanish.docx
  
10/15/2015 12:20 PM
South Oaks Gambling Screen.docx
  
10/15/2015 12:20 PM