Credentialing

 

The CAMHD Credentialing forms listed below are for contracted agency use only. Individual service providers must contact their employer’s Credentialing section to request a CAMHD credentialing packet. Direct submissions of the CAMHD Credentialing forms to the CAMHD Credentialing Section will not be processed.

Credentialing Forms

Paraprofessional (Para) & Mental Health Professional (MHP) Forms

Qualified Mental Health Professional (QMHP) Forms

Abuse and Neglect Consent Forms

Other Forms

For instructions and/or questions about these credentialing forms, please contact the CAMHD Credentialing Specialist at (808) 733-9333 or email at [email protected].

 

Last reviewed on October 19, 2021