The Child and Adolescent Mental Health Division (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

Credentialing Policies

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


Last reviewed on November 10, 2022