Applications and Forms

Behavioral health agency
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 doesn't assert regulatory jurisdiction over a BHA license issued under a tribal attestation. Once the department accepts the tribal attestation, a behavioral health agency 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

For questions about tribal attestation, call 360-236-4700.

Opioid treatment program
Additional documents