Skip to Content
DHS
Illinois Department of Human Services
Michelle R.B. Saddler, Secretary
Facebook: Illinois Department of Human ServicesTwitter: Illinois Department of Human Services Communications

Menu

  • for Customers
    • Alcoholism & Addiction
    • Cash
    • Child Care
    • Customer Service
    • Developmental Disabilities
    • Disability & Rehabilitation
    • Food
    • Health & Medical
    • Housing
    • Mental Health
    • Pregnancy & Parenting
    • Violence & Abuse
    • Youth Services
    • Services by Division
  • for Providers
    • Becoming a Provider
    • Centralized Repository Vault (CRV)
    • Contracts
    • Forms
    • FAQs
    • Grants
    • Licensure & Certification
    • Payments
    • Procurement
    • RFPs
    • Rules
    • Software
    • Training
    • Provider Information by Division
  • about DHS
    • Contacts
    • Events
    • Initiatives
    • News
    • Brochures
    • Forms
    • Reports
    • Publications
    • About DHS by Division

Breadcrumb

  1. DHS
  2. for Providers
  3. Provider Information by Division
  4. Alcoholism & Substance Abuse Provider Information

Data Input Forms

  • Client Patient Admission DARTS Data Entry Form FY 2013 (pdf)
  • Client Patient Discharge with National Outcome Measures DARTS Data Entry Form FY2013 (pdf)
  • Assessment, Intervention, Case Management, Level I and Level II, HIV, Interpreter Data Entry Form FY 2013 (pdf)
  • Residential and Recovery Home Services FY 2013 (pdf)
  • Toxicology Services FY 2013 (pdf) - updated 07/05/2012

If an accessible version of the above documents is required, contact Pat Gastorf.

Related Links

  • DASA-DARTS Mailing List
  • Drug Overdose Prevention Program
  • Statewide Policy Summit on Advancing Bidirectional Behavioral Health & Primary Care Integration
  • Access to Recovery Provider Information
  • Become an Alcoholism & Substance Treatment & Intervention Provider
  • DASA Software
  • Data Input Forms
  • Group Home Supportive Living Initiative
  • Manuals & Record Layouts
  • Smart Alert Bulletins
  • Training
  • Request For Proposals

Footer

  • State of Illinois
  • Accessibility
  • Privacy
  • Report Abuse/Neglect
  • Contact DHS
DHS Outlook Login