ATR Ohana Application Forms will be accepted from January 9, 2012 through February 9, 2012, from providers currently delivering services to individuals with substance abuse issues on the Island of Kaua’i. If you are interested in applying to be an ATR Ohana provider from the Island of Kaua’i, please print out and complete the two (2) page Application Form (SEE LINK BELOW), and scan the completed form to: JoHanna.Mechergui@doh.hawaii.gov, or fax the completed form to (808) 692-7521, Attention, Dr. JoHanna Mechergui, ATR Service Developer.
The deadline for submitting new applications for the Island of Oahu was on September 6, 2011. No additional applications are currently being processed for agencies proposing to deliver ATR Ohana services on the Island of Oahu.
| Application Form | MOU Document Requirements | |
| Computer and Network Requirements | ||
Memoranda of Understanding (MOU) for ATR Ohana:
| MOU for Agencies Referring Clients to ATR Ohana |
| MOU for Agencies Providing Services to ATR Ohana Clients |
| Addendum to MOU for Agencies Providing Services to ATR Ohana Clients |
Useful Documents:
| Useful Information About ATR Ohana: | |
| ATR Ohana FAQs | |
| How to Become an ATR Ohana Provider | |
| Enrollment Checklist | |
| Technical Assistance (TA) Procedure | |
| Technical Assistance (TA) Form | |
| Other Sample Documents: |
| Client Locator Form |
| Provider Manual |