Your Information

Enter your facility details - this auto-fills all documents

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Business Information

Facility Legal Name *

Entity Type *

Federal Tax ID (EIN) *

Facility Address

Street Address *

City *

ZIP Code *

County *

Primary Contact

Contact Name *

Title *

Phone *

Email *

Program Type

PHP Partial Hospitalization Program (ASAM 2.5)

IOP Intensive Outpatient Program (ASAM 2.1)

Mission & Vision ✨ Generate with AI

Mission Statement

Vision Statement

2

Upload Required Documents

Gather these documents before generating your packet

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Business Formation Documents (Tab 1)

Articles of Incorporation/Organization From CA Secretary of State

Statement of Information Current filing from Secretary of State

Bylaws/Operating Agreement For corporations/nonprofits/LLCs

Business & Property (Tabs 2-4)

Business License Current license from your city/county

Fictitious Business Name (if applicable) County filing if using DBA

Property Lease or Deed Proof of facility occupancy

Insurance & Compliance (Tabs 21-23)

Liability Insurance Certificate Professional and general liability

Fire Clearance From local fire department

Zoning Approval/CUP If required by your jurisdiction

💡 Tip: You don't need these uploaded now - just confirm you have them ready. They'll be included in your final submission packet.

3

Generate Policies & Procedures

AI will create all required policies customized for your facility

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🤖

AI Document Generator

Click below to generate all 38 required policies and procedures. AI will customize each document with your facility information.

✨ Enhance with AI (recommended)

Click "Generate All Documents" to create your policies

4

Review & Edit Documents

Review generated documents and make any edits

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Select a document

5

Download Your Packet

Download all documents as PDFs ready for submission

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📦

Complete Application Packet

All documents combined into organized PDFs

📋 Section 1: Policies & Procedures

All 19 required policy documents

📄 Section 2: Program Documents

Program description, schedules, curriculum

🏢 Section 3: Admin Documents

Org chart, job descriptions, training plan

✅ Section 4: Certification Documents

Mission, goals, evaluation plan, QI

DHCS Forms to Complete Separately

Download and fill out these official DHCS forms:

📄 DHCS 6002 - Initial Application 📄 DHCS 6040 - Certification 📄 DHCS 5050 - Staff Info 📄 DHCS 5082 - Program Director 📄 DHCS 5086 - Services Schedule 📄 DHCS 5140 - Disclosure

🎉 Congratulations!

Your DHCS application packet is ready. Submit to: LCDSUDApplication@dhcs.ca.gov