Substance Abuse and Mental Health Services Administration

Official Website: https://www.samhsa.gov/

Forms & Documents

Browse all Substance Abuse and Mental Health Services Administration forms

1 - 20 of 31 forms

Form Title Topics
Adult Assessment and Referral Tool (OMB 2022)
Adult Assessment and Referral Tool Response Card
Boilerplate Service Provider Feedback Form Announcement
Boilerplate Service Provider Feedback Form Announcement: Paper Version
Boilerplate Service Provider Feedback Form Cover Letter
Boilerplate Service Provider Feedback Form Cover Letter: Paper Version
Boilerplate Service Provider Feedback Form Thank You/Reminder
Child/Youth Assessment and Referral Tool
Child/Youth Assessment and Referral Tool Response Card
Developing a Competitive SAMHSA Grant Application
Directory of Single State Mental Health Authorities Directory
Directory of Single State Substance Abuse Agencies
Download the “Talk. They Hear You.” Family Agreement Form in English
Download the “Talk. They Hear You.” Family Agreement Form in Spanish (PDF | 51.2 KB)
Group Encounter Log (OMB 2022)
Guidance describing use of Substance Abuse Prevention and Treatment Block Grant Funds to support SSPs
Herramienta para la Evaluación y Referido de Adultos (OMB 2022)
Herramienta para la Evaluación y Referido de Adultos Tarjeta de Repuestas
Herramienta para la Evaluación y Referido de Niños y Jóvenes (OMB 2022)
Herramienta para la Evaluación y Referido de Niños y Jóvenes Tarjeta de Repuestas

Contact Information & Office Locations

1 contact point

Headquarters

Address:
5600 Fishers Lane
Rockville, MD 20857

Phone numbers:
  • (877) 726-4727
  • (800) 487-4889 (TTY)
Hours of operation:
  • Monday - Friday 8:30 a.m. - 5:00 p.m.

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