Applications and Forms

Behavioral health agency (BHA)
Tribal BHA attestation for substance use disorder services, mental health services, and licensure

Tribal BHAs applying for licensure and certification may attest that its agency meets the state minimum standards. The department does not assert regulatory jurisdiction over a BHA license issued under a tribal attestation. Once the department accepts the tribal attestation, a BHA license will be issued to the undersigned tribe and include the tribe on the current list of licensed behavioral health agencies (PDF).

Mail completed tribal attestation form, tribal application for BHA license, and administrative processing fee of $261 to:

Department of Health
P.O. Box 1099
Olympia, WA 98507-1099

See the Tribal Attestation FAQ (PDF) or call 360-236-4700 with questions about tribal attestation or renewals.

Opioid Treatment Program
Policies and Procedures