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These are the forms and cations most commonly used by AAIR providers. If you need help completing a form, or are having difficulty downloading a form, please Contact Us. One of our staff members will be happy to provide any assistance you may need. To download or view a AAIR form, you need the Adobe Reader.

  Provider Application Forms  
Form# Form Name How Item is Used
c2.a2 Tribal Enrollment/Indian Descendant/ Indian Household Verification Form To request verification of tribal enrollment status from a client’s tribe
c4.a1 New AAIR Provider Enrollment Application To apply for enrollment as an AAIR provider
C5.a1 AAIR Traditional Healer/Spiritual Advisor To apply for enrollment as a Traditional Healer/Spiritual Advisor
  Client Application Forms  
Form# Form Name How Item is Used
c10.a2 AAIR Client Enrollment Application To enroll new clients in AAIR and gather consent for treatment and research participation
  AAIR Client Transfer Form To provide clients with the ability to transfer between authorized AAIR provider organizations when necessary.
  Other Forms  
Form# Form Name How Item is Used
c18.a1 GPRA Tool - ATR-2 To collect and report required client GPRA outcome data to AAIR
  6 Month Follow-Up GPRA Incentive Form AAIR 6 month GPRA follow-up voucher incentive program
c22.a1 Report of Suspected Fraud and Abuse To report a suspected act of fraud or abuse against AAIR
c23.a1 Grievance Form To report a grievance regarding the quality of care delivered to a client
c24.a1 Appeals Form To appeal a AAIR decision or determination
  Assessment Forms  
  RSS Screen Assessment Tool Recovery Support Screen and Assessment Toll
  AAIR Website Policies
c4.s1.0 Provider Application Policy
c4.s1.a5 Clinic Provider Application (Part 6)
c4.s1.1 Provider Application Review
c4.s2.0 General Requirements
c4.s3.0 Provider Credential Review
c4.s4.0 Eligibility Determination and Notification
c4.s4.a2 Provider Enrollment Approval Letter
c4.s4.a3 Provider Enrollment Denial Letter
c4.s5.0 Service Effective Date
c4.s6.0 Eligiblity Status
c4.s7.0 Credentialing Information System