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 9:48 AM
Gambling Authorization Request Form.docx
  
2/4/2016 10:04 AM
Gambling Discharge Treatment Form.docx
  
3/29/2016 11:46 AM
Gambling Invoice Form.docx
  
10/15/2015 1:17 PM
Gambling Liability Form.docx
  
10/15/2015 1:18 PM
Gambling Re-Authorization Request.doc
  
10/15/2015 1:18 PM
Grievance and Appeal Form.docx
  
3/23/2016 1:44 PM
PPA Enrollment Application Checklist.doc
  
10/15/2015 1:15 PM
Provider Enrollment Application - Agency.docx
  
3/17/2016 10:13 AM
Provider Enrollment Application - Individual.docx
  
3/17/2016 10:13 AM
Provider Enrollment Application - Staff.docx
  
3/17/2016 10:13 AM
South Oaks Gambling Screen Adolescents.docx
  
10/15/2015 1:20 PM
South Oaks Gambling Screen Spanish.docx
  
10/15/2015 1:20 PM
South Oaks Gambling Screen.docx
  
10/15/2015 1:20 PM