Step 1: Your Information

Enter your facility details - this auto-fills all documents

Business Information

Facility Address

Primary Contact

AOD Services to Be Provided

Check all that apply (per DHCS 6040 certification application)

If providing Recovery and/or Treatment Services, specify the level of service provided:

Residential Treatment Services (DHCS Licensing for Detox/Residential Facilities):

Mission & Vision Generate with AI

Step 2: DHCS 6040 Tab Checklist

All 23 required tabs for your application packet

Business Formation (Tabs 1-4)

Program Structure (Tabs 5-10) - AI Generated

Policies & Procedures (Tabs 11-19) - AI Generated

DHCS Forms (Tab 20)

Final Requirements (Tabs 21-23)

Step 3: Generate All Documents

AI will create all required policies customized for your services

AI

AI Document Generator

Generate all 45+ required documents including policies for Outpatient Detox, Recovery Services, Treatment Services, MAT, and IOP - all customized with your facility information.

Click "Generate All Documents" to create your complete application packet

Step 4: Review & Edit Documents

Review generated documents and use AI to make edits

Documents

Generate documents in Step 3 first

Select a document

AI

Edit with AI

Describe the changes you want to make to this document. For example:

  • "Change the program hours to 9am-5pm"
  • "Add a section about telehealth services"
  • "Make the language more professional"
  • "Update the contact person to John Smith"

Step 5: Download Your Packet

Download all documents as PDFs ready for DHCS submission

PDF

Complete Application Packet

All Tabs 5-19 documents combined into one PDF

ZIP

All Tabs as Separate PDFs

Download each tab (5-19) as its own PDF file

Tabs 5-10: Program Structure

Org chart, community resources, activities, program, QM, jobs

Tabs 11-19: Policies

Admission, agreements, fees, emergency, meds, MAT, safety

Download Individual Tabs

DHCS Forms to Complete Separately (Tab 20)

Download and fill out these official DHCS forms manually:

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

Your Application Packet is Ready!

Submit your complete packet to: LCDSUDApplication@dhcs.ca.gov

Include all tabs with numbered dividers as specified in the DHCS 6040 instructions.

PDF Form Filler

Upload DHCS forms and auto-fill with your facility data

Upload PDF Form

✎

Drop PDF here or click to upload

Supports DHCS forms: 6002, 6040, 5050, 5082, 5086, 5140

Quick Fill DHCS Forms

Download blank DHCS forms, then upload them here to auto-fill:

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

Packet Checker

Upload your packet files to verify completeness

Upload Your Packet Files

📁

Drop files here or click to upload

Upload all your packet documents (PDF, DOC, DOCX)

Select multiple files at once

Packet Analysis

Upload your packet files and click "Analyze Packet" to check for missing items.

DHCS 6040 Required Tabs Checklist

○ Tab 1: Business Entity Documents
○ Tab 2: Business License
○ Tab 3: DBA Statement (if applicable)
○ Tab 4: Lease/Deed Agreement
○ Tab 5: Organizational Chart
○ Tab 6: Community Resources
○ Tab 7: Activities & Services
○ Tab 8: Program Description
○ Tab 9: Quality Management Plan
○ Tab 10: Job Descriptions
○ Tab 11: Admission Policies
○ Tab 12: Admission Agreement
○ Tab 13: Fee Policy
○ Tab 14: Emergency Procedures
○ Tab 15: Medication Policies
○ Tab 16: Medication Audit
○ Tab 17: Return to Use Policy
○ Tab 18: MAT Policies
○ Tab 19: Weapons Policy
○ Tab 20: DHCS Forms
○ Tab 21: HCP Documentation
○ Tab 22: Management Agreement
○ Tab 23: Insurance/Bond