Behavioral Health (BH) Internship Providers

This survey will help OhioMHAS develop a master list of Community Behavioral Health Centers (CBHCs), regulated by OhioMHAS, that bill Medicaid with available internships for students within the BH field. The agency does not have to provide internships to participate in this survey.

Please enter N/A if prompted for data which is not applicable to your agency. The survey contains location and service slots for up to five service locations. If you have more than five applicable service locations, please return to the original email, click the survey link again, and return to the survey.

Each time you activate the link, the system will allow you to enter data on up to five more service locations. The survey can be answered multiple times from a single computer. The survey should require 5 to 10 minutes to complete. If you have questions about the survey, please contact Nicholas Martt at Nicholas.Martt@mha.ohio.gov.
 

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* 1. Name of provider:

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* 2. Doing Business As name (if different)

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* 3. Please enter your contact information.

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