SUD Referral Sources Information
Forms for Referral Sources
To refer clients into substance use disorder treatment services funded by the State of Idaho, please see the documents listed below.
To help clients choose a provider, search for Treatment & Recovery Support Services providers here.
To help clients funded by the Idaho Department of Juvenile Corrections choose a provider, use the IDJC provider search here.
The forms on this page are for the following client populations: ATR-4, IDHW-Child Protection/SUD (CP/SUD), IDHW-Adult Mental Health Court, IDHW-Domestic Violence Court (DV Court), IDHW-Misdemeanant Problem Solving Court (Misdemeanant PSC), IDHW-Supervised Misdemeanant.
Questions? Contact BPA Health at 800-922-3406.
See Funding Profile Instructions for additional information, by clicking the download button to the right or Click Here.
See Funding Profile Instructions for additional information, by clicking the download button to the right or Click Here.
This form/process is for the following client populations: ATR-4, IDHW-Child Protection/SUD (CP/SUD), IDHW-Adult Mental Health Court, IDHW-Domestic Violence Court (DV Court), IDHW-Misdemeanant Problem Solving Court(Misdemeanant PSC), IDHW-Supervised Misdemeanant. Services for all other IDHW clients should be initiated by a phone call to BPA Health, services for IDOC clients should be initiated by a referral from IDOC to a provider.
Click the download button to the right or Click Here.
Click the download button to the right or Click Here.
Click the download button to the right or Click Here.