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How to use or fill out FREE THROUGH RECOVERY (FTR) PROGRAM PROVIDER APPLICATION - North Dakota State Government with Our Platform
- Click ‘Get Form’ to open the FREE THROUGH RECOVERY (FTR) PROGRAM PROVIDER APPLICATION in our editor.
- Begin by filling out the 'Program Information' section. Enter your Provider Name, Address, City, State, and contact details including telephone and email addresses.
- Proceed to 'Additional Locations' if applicable. Provide similar information for any additional provider locations you wish to include.
- In the 'Services' section, ensure you check all services you will provide for monthly reimbursement, such as Care Coordination and Peer Support.
- Attach required documents in the 'Attachments' section. Ensure all necessary agreements and verifications are included.
- Finally, complete the 'Signature' section by certifying that all information is accurate and signing where indicated.
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