Healthy Blue - Healthy Connections

Welcome to the Form Resource Center for Behavioral Health Clinicians

Choose a Category

• Facility-Based Treatment

  Use this form to request certification for both mental health and substance use disorder treatment for inpatient, residential treatment (RTC), partial hospitalization (PHP), intensive outpatient (IOP) or outpatient electroconvulsive therapy services.

• Outpatient Mental Health Treatment

  Use these forms to request certification for outpatient mental health treatment services (e.g. individual or group therapy). Do not use these forms for services related to substance use disorder (SUD), intensive outpatient programs (IOP) or partial hospitalization programs (PHP).

• Outpatient Substance Use Disorder Treatment

  Use this form to request certification for outpatient substance use disorder (SUD) treatment services (e.g. individual or group therapy). Do not use this form for mental health treatment requests, intensive outpatient programs (IOP) or partial hospitalization programs (PHP).

• SC Department Of Mental Health Treatment

  Use these forms to request certification for all SC Department of Mental Health outpatient services.