Arizona Revised Statute §36-109 requires that each quarter, each hospital, health care facility and outpatient substance abuse treatment providers that provide substance abuse treatment submit to the Department the following information.
- Name and address of the hospital or health care facility,
- The type of hospital or health care facility
- The number of available substance abuse treatment beds
- The number of days in the quarter that the hospital or health care facility was at capacity and not able to accept referrals for substance abuse treatment
For the quarter ending September 30, 2019, please use the below Survey Monkey link and complete the survey no later than November 15:
The information you submit is important to assessing Arizona's progress in meeting the treatment needs of people throughout the state. The information is analyzed and compiled into a quarterly report that is provided to the Governor, the Presidents of the Arizona House and Senate, and the Arizona Secretary of State's Office. The quarterly reports are also posted on the ADHS opioid website at https://azhealth.gov/opioid under the reporting tab.
If you have any questions or comments, please e-mail firstname.lastname@example.org