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Certification Applications
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Private Hospital Licensure

Denise Cole

(614) 644-6166

Administrative Code Rules

Howard Henry

Mental Health and/or AoD Certification or Licensure

Greg Lewis

(614) 752-8880

Health Home Service Certification

Ohio mental health services providers certified by the Ohio Department of Mental Health and Addiction Services (OhioMHAS) seeking to become health homes are required to fully complete and submit the above application documents as directed. Please mail your complete health home service certification supplemental application and business associate agreements to:

  • OhioMHAS Bureau of Licensure and Certification
  • 30 East Broad Street, Suite 742
  • Columbus, Ohio 43215
Community Forensic Psychiatry Centers

Complete the following if you are a free-standing forensic center and not part of a larger agency. Only complete Attachments 1, 2, and 3. If you have questions about the application process, contact your surveyor in the Office of Licensure and Certification.