{"id":5205,"date":"2022-12-21T16:28:05","date_gmt":"2022-12-21T16:28:05","guid":{"rendered":"https:\/\/dbhids.org\/dev\/?page_id=5205"},"modified":"2023-06-30T12:46:06","modified_gmt":"2023-06-30T16:46:06","slug":"niac-forms","status":"publish","type":"page","link":"https:\/\/dbhids.org\/dev\/about\/organization\/administration-finance-quality\/network-improvement-and-accountability-collaborative\/niac-forms\/","title":{"rendered":"NIAC Forms"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"5205\" class=\"elementor elementor-5205\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-514e16d7 elementor-section-height-min-height elementor-section-content-top elementor-section-items-top elementor-section-boxed elementor-section-height-default\" data-id=\"514e16d7\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-345fb7fa elementor-hidden-mobile\" data-id=\"345fb7fa\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-34e85c91 elementor-widget elementor-widget-heading\" data-id=\"34e85c91\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\"><a href=\"\/about-us\/organization\">Organization<\/a><\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-396ea1c eael-simple-menu-hamburger-align-left eael_simple_menu_hamburger_disable_selected_menu_no eael-hamburger--tablet elementor-widget elementor-widget-eael-simple-menu\" data-id=\"396ea1c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"eael-simple-menu.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<style>\n                        @media screen and (max-width: 1079px) {\n                            .eael-hamburger--tablet {\n                                .eael-simple-menu-horizontal,\n                                .eael-simple-menu-vertical {\n                                    display: none;\n                                }\n                            }\n                            .eael-hamburger--tablet {\n                                .eael-simple-menu-container .eael-simple-menu-toggle {\n                                    display: block;\n                                }\n                            }\n                        }\n                        .eael-simple-menu-container.eael-simple-menu--loading > ul {\n                            display: -webkit-box !important;\n                            display: -ms-flexbox !important;\n                            display: flex !important;\n                            list-style: none !important;\n                        }\n                        .eael-simple-menu-container.eael-simple-menu--loading li ul {\n                            visibility: hidden !important;\n                            opacity: 0 !important;\n                        }\n                    <\/style>            <div data-hamburger-icon=\"&lt;i aria-hidden=&quot;true&quot; class=&quot;fas fa-bars&quot;&gt;&lt;\/i&gt;\" data-indicator-icon=\"&lt;i aria-hidden=&quot;true&quot; class=&quot;fas fa-plus&quot;&gt;&lt;\/i&gt;\" data-dropdown-indicator-icon=\"&lt;i class=&quot;fas fa-angle-down&quot;&gt;&lt;\/i&gt;\" class=\"eael-simple-menu-container eael-simple-menu--loading eael-simple-menu-align-left eael-simple-menu--stretch eael-simple-menu-dropdown-align-left preset-3\" data-hamburger-breakpoints=\"{&quot;mobile&quot;:&quot;Mobile Portrait (&gt; 767px)&quot;,&quot;tablet&quot;:&quot;Tablet Portrait (&gt; 1079px)&quot;,&quot;desktop&quot;:&quot;Desktop (&gt; 2400px)&quot;,&quot;none&quot;:&quot;None&quot;}\" data-hamburger-device=\"tablet\">\n                <ul id=\"menu-organization\" class=\"eael-simple-menu eael-simple-menu-dropdown-animate-to-top eael-simple-menu-indicator eael-simple-menu-vertical\"><li id=\"menu-item-3933\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-has-children menu-item-3933\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/commissioners-office\/\">Commissioner\u2019s Office<\/a>\n<ul class=\"sub-menu\">\n\t<li id=\"menu-item-3967\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3967\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/commissioners-office\/systems-integration\/\">Systems Integration<\/a><\/li>\n\t<li id=\"menu-item-4071\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-4071\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/commissioners-office\/systems-integration\/tec\/\">Trauma, Equity, and Community<\/a><\/li>\n\t<li id=\"menu-item-12318\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-12318\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/commissioners-office\/chief-medical-officer\/\">Chief Medical Officer<\/a><\/li>\n\t<li id=\"menu-item-3932\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3932\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/commissioners-office\/dbhids-communications\/\">DBHIDS Communications<\/a><\/li>\n<\/ul>\n<\/li>\n<li id=\"menu-item-3934\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3934\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/division-of-community-behavioral-health\/\">Community Behavioral Health<\/a><\/li>\n<li id=\"menu-item-3937\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-has-children menu-item-3937\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/planning-innovation\/\">Division of Planning Innovation<\/a>\n<ul class=\"sub-menu\">\n\t<li id=\"menu-item-4196\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-4196\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/planning-innovation\/community-based-services-development-unit\/\">Community-Based Services Development Unit<\/a><\/li>\n\t<li id=\"menu-item-4204\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-4204\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/planning-innovation\/community-wellness-engagement-unit\/\">Community Wellness Engagement Unit<\/a><\/li>\n\t<li id=\"menu-item-4243\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-4243\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/planning-innovation\/diversity-equity-inclusion-team\/\">Diversity, Equity &#038; Inclusion Team<\/a><\/li>\n\t<li id=\"menu-item-4261\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-has-children menu-item-4261\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/planning-innovation\/emergency-preparedness-and-response-unit\/\">Emergency Preparedness and Response Unit<\/a>\n\t<ul class=\"sub-menu\">\n\t\t<li id=\"menu-item-10831\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-10831\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/planning-innovation\/emergency-preparedness-and-response-unit\/network-of-neighbors\/\">Network of Neighbors<\/a><\/li>\n\t<\/ul>\n<\/li>\n\t<li id=\"menu-item-5019\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-5019\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/planning-innovation\/engaging-males-of-color\/\">Engaging Males of Color<\/a><\/li>\n\t<li id=\"menu-item-12263\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-12263\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/planning-innovation\/faith-spiritual-affairs\/\">Faith and Spiritual Affairs<\/a><\/li>\n\t<li id=\"menu-item-4302\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-has-children menu-item-4302\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/planning-innovation\/peer-culture-and-community-inclusion-unit\/\">Peer Culture and Community Inclusion Unit<\/a>\n\t<ul class=\"sub-menu\">\n\t\t<li id=\"menu-item-10146\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-10146\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/planning-innovation\/peer-culture-and-community-inclusion-unit\/peer-support-toolkit\/\">Peer Support Toolkit<\/a><\/li>\n\t\t<li id=\"menu-item-10147\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-10147\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/planning-innovation\/peer-culture-and-community-inclusion-unit\/peer-culture-transformation-advisory-board\/\">Peer Culture Transformation Advisory Board<\/a><\/li>\n\t\t<li id=\"menu-item-10148\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-10148\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/planning-innovation\/peer-culture-and-community-inclusion-unit\/peer-culture-report\/\">Peer Culture Report<\/a><\/li>\n\t\t<li id=\"menu-item-10152\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-10152\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/planning-innovation\/peer-culture-and-community-inclusion-unit\/certified-peer-specialist-training\/\">Certified Peer Specialist Training<\/a><\/li>\n\t\t<li id=\"menu-item-10153\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-10153\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/planning-innovation\/peer-culture-and-community-inclusion-unit\/ur-storytelling-training\/\">UR Storytelling Training<\/a><\/li>\n\t\t<li id=\"menu-item-10154\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-10154\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/planning-innovation\/peer-culture-and-community-inclusion-unit\/wellness-recovery-action-plan\/\">Wellness Recovery Action Plan<\/a><\/li>\n\t\t<li id=\"menu-item-10155\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-10155\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/planning-innovation\/peer-culture-and-community-inclusion-unit\/cps-employment-technical-assistance-program\/\">CPS Employment Technical Assistance Program<\/a><\/li>\n\t<\/ul>\n<\/li>\n\t<li id=\"menu-item-15660\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-15660\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/planning-innovation\/policy-unit\/\">Policy Unit<\/a><\/li>\n\t<li id=\"menu-item-4429\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-has-children menu-item-4429\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/planning-innovation\/research-unit\/\">Research Unit<\/a>\n\t<ul class=\"sub-menu\">\n\t\t<li id=\"menu-item-4864\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-4864\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/planning-innovation\/research-unit\/data-reports-and-research-findings\/\">Data Reports and Research Findings<\/a><\/li>\n\t\t<li id=\"menu-item-4863\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-4863\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/planning-innovation\/research-unit\/requests-related-to-research-activities\/\">Requests Related to Research Activities<\/a><\/li>\n\t\t<li id=\"menu-item-4862\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-4862\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/planning-innovation\/research-unit\/dla\/\">City of Philadelphia DLA Requirements<\/a><\/li>\n\t<\/ul>\n<\/li>\n\t<li id=\"menu-item-4470\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-has-children menu-item-4470\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/planning-innovation\/trauma-initiatives-resources\/\">Trauma Initiatives &#038; Resources<\/a>\n\t<ul class=\"sub-menu\">\n\t\t<li id=\"menu-item-4518\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-4518\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/planning-innovation\/trauma-initiatives-resources\/common-signs-and-symptoms\/\">Common Signs and Symptoms<\/a><\/li>\n\t\t<li id=\"menu-item-4954\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-4954\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/planning-innovation\/trauma-initiatives-resources\/trauma-facts-and-figures\/\">Trauma Facts and Figures<\/a><\/li>\n\t\t<li id=\"menu-item-4910\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-4910\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/planning-innovation\/trauma-initiatives-resources\/community-partnerships\/\">Community Partnerships<\/a><\/li>\n\t\t<li id=\"menu-item-4922\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-4922\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/planning-innovation\/trauma-initiatives-resources\/trauma-resources\/\">Trauma Resources<\/a><\/li>\n\t\t<li id=\"menu-item-4928\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-4928\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/planning-innovation\/trauma-initiatives-resources\/need-help-now\/\">Need Help Now<\/a><\/li>\n\t\t<li id=\"menu-item-4946\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-4946\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/planning-innovation\/trauma-initiatives-resources\/human-trafficking-awareness\/\">Human Trafficking Awareness<\/a><\/li>\n\t<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li id=\"menu-item-3936\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-has-children menu-item-3936\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/behavioral-health-division\/\">Behavioral Health Division<\/a>\n<ul class=\"sub-menu\">\n\t<li id=\"menu-item-12375\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-12375\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/behavioral-health-division\/988-suicide-and-crisis-lifeline\/\">988 Suicide and Crisis Lifeline<\/a><\/li>\n\t<li id=\"menu-item-4082\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-has-children menu-item-4082\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/behavioral-health-division\/single-county-authority\/\">Single County Authority<\/a>\n\t<ul class=\"sub-menu\">\n\t\t<li id=\"menu-item-10953\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-10953\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/behavioral-health-division\/single-county-authority\/behavioral-health-special-initiative\/\">Behavioral Health Special Initiative<\/a><\/li>\n\t\t<li id=\"menu-item-10959\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-10959\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/behavioral-health-division\/single-county-authority\/provider-development-and-transformation-initiatives\/\">Provider Development and Transformation Initiatives<\/a><\/li>\n\t\t<li id=\"menu-item-10952\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-10952\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/behavioral-health-division\/single-county-authority\/recovery-house-initiative\/\">Recovery House Initiative<\/a><\/li>\n\t\t<li id=\"menu-item-10965\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-10965\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/behavioral-health-division\/single-county-authority\/the-journey-of-hope-project\/\">The Journey of Hope Project<\/a><\/li>\n\t\t<li id=\"menu-item-10565\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-10565\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/behavioral-health-division\/single-county-authority\/forensic-intensive-recovery-justice-addiction-treatment-initiatives\/\">Forensic Intensive Recovery \/ Justice Addiction Treatment Initiatives<\/a><\/li>\n\t\t<li id=\"menu-item-10311\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-has-children menu-item-10311\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/behavioral-health-division\/single-county-authority\/prevention-services\/\">Prevention Services<\/a>\n\t\t<ul class=\"sub-menu\">\n\t\t\t<li id=\"menu-item-10365\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-10365\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/behavioral-health-division\/single-county-authority\/prevention-services\/philadelphia-prevention-partnership\/\">Philadelphia Prevention Partnership<\/a><\/li>\n\t\t\t<li id=\"menu-item-10345\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-10345\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/behavioral-health-division\/single-county-authority\/prevention-services\/oas-recovery-support-services\/\">OAS Recovery Support Services<\/a><\/li>\n\t\t\t<li id=\"menu-item-10344\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-10344\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/behavioral-health-division\/single-county-authority\/prevention-services\/problem-disordered-gambling-initiative\/\">Problem Gambling Initiative<\/a><\/li>\n\t\t\t<li id=\"menu-item-10364\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-10364\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/behavioral-health-division\/single-county-authority\/prevention-services\/student-assistance-program\/\">Student Assistance Program<\/a><\/li>\n\t\t<\/ul>\n<\/li>\n\t\t<li id=\"menu-item-10556\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-10556\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/behavioral-health-division\/single-county-authority\/drug-free-coalitions\/\">Drug-Free Coalitions<\/a><\/li>\n\t<\/ul>\n<\/li>\n\t<li id=\"menu-item-5179\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-has-children menu-item-5179\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/administration-finance-quality\/network-improvement-and-accountability-collaborative\/\">Management Services Department<\/a>\n\t<ul class=\"sub-menu\">\n\t\t<li id=\"menu-item-5180\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-5180\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/administration-finance-quality\/network-improvement-and-accountability-collaborative\/the-process\/\">The Process<\/a><\/li>\n\t\t<li id=\"menu-item-5212\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-5212\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/administration-finance-quality\/network-improvement-and-accountability-collaborative\/about-niac\/\">About NIAC<\/a><\/li>\n\t\t<li id=\"menu-item-5211\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-5211\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/administration-finance-quality\/network-improvement-and-accountability-collaborative\/network-inclusion-criteria\/\">Network Inclusion Criteria<\/a><\/li>\n\t\t<li id=\"menu-item-5210\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-5210\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/administration-finance-quality\/network-improvement-and-accountability-collaborative\/niac-forms\/\">NIAC Forms<\/a><\/li>\n\t<\/ul>\n<\/li>\n\t<li id=\"menu-item-4098\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-4098\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/behavioral-health-division\/contracts-budgeting\/\">Contracts &#038; Budgeting<\/a><\/li>\n\t<li id=\"menu-item-4119\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-4119\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/behavioral-health-division\/behavioral-health-crisis-intervention-services\/\">Behavioral Health Crisis Intervention Services<\/a><\/li>\n\t<li id=\"menu-item-4139\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-has-children menu-item-4139\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/behavioral-health-division\/coordinated-consumer-services\/\">Coordinated Consumer Services<\/a>\n\t<ul class=\"sub-menu\">\n\t\t<li id=\"menu-item-10293\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-10293\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/behavioral-health-division\/coordinated-consumer-services\/admissions-discharges-and-planning-team\/\">Admissions, Discharges and Planning Team<\/a><\/li>\n\t\t<li id=\"menu-item-10292\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-10292\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/behavioral-health-division\/coordinated-consumer-services\/targeted-case-managment\/\">Targeted Case Managment<\/a><\/li>\n\t<\/ul>\n<\/li>\n\t<li id=\"menu-item-4138\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-4138\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/behavioral-health-division\/housing-and-homeless-services\/\">Housing and Homeless Services<\/a><\/li>\n\t<li id=\"menu-item-5060\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-5060\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/behavioral-health-division\/heat-safety\/\">Heat Safety<\/a><\/li>\n\t<li id=\"menu-item-4161\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-4161\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/behavioral-health-division\/southeast-regional-planning-and-implementation\/\">Southeast Regional Planning and Implementation<\/a><\/li>\n\t<li id=\"menu-item-4160\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-4160\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/behavioral-health-division\/crisis-intervention-team-training\/\">Crisis Intervention Team Training<\/a><\/li>\n<\/ul>\n<\/li>\n<li id=\"menu-item-3935\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-has-children menu-item-3935\"><a href=\"https:\/\/dbhids.org\/dev\/about\/organization\/intellectual-disability-services\/\">Division of Intellectual disAbility 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\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-66 elementor-top-column elementor-element elementor-element-7b91b58\" data-id=\"7b91b58\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-5eb6709b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5eb6709b\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-55cddeb0\" data-id=\"55cddeb0\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3078487 elementor-widget elementor-widget-breadcrumbs\" data-id=\"3078487\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"breadcrumbs.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<p id=\"breadcrumbs\"><span><span><a href=\"https:\/\/dbhids.org\/dev\/\">Home<\/a><\/span><\/span><\/p>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-bb1f199 elementor-widget elementor-widget-heading\" data-id=\"bb1f199\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">NIAC Forms<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2a4e03db elementor-widget elementor-widget-text-editor\" data-id=\"2a4e03db\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li><a href=\"https:\/\/dbhids.org\/wp-content\/uploads\/2019\/02\/Revised-Agency-Self-Appraisal-2019.docx\" target=\"_blank\" rel=\"noopener\">Self-Appraisal Form<\/a><\/li><li><a href=\"https:\/\/dbhids.org\/wp-content\/uploads\/2019\/02\/Full-Site-Review-Preperations.docx\" target=\"_blank\" rel=\"noopener\">Full Site Review Preparations<\/a><\/li><li><a href=\"https:\/\/dbhids.org\/wp-content\/uploads\/2019\/02\/NIC-3.0-Fact-Sheet-Final-Web-Site-Vr.docx\" target=\"_blank\" rel=\"noopener\">Network Inclusion Criteria (NIC) 3.0 Fact Sheet<\/a><\/li><li><a href=\"https:\/\/dbhids.org\/wp-content\/uploads\/2019\/02\/PIP-Site-Review-Preperations.docx\" target=\"_blank\" rel=\"noopener\">PIP Site Review Preparations<\/a><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Organization Commissioner\u2019s Office Systems Integration Trauma, Equity, and Community Chief Medical Officer DBHIDS Communications Community Behavioral Health Division of Planning Innovation Community-Based Services Development Unit Community Wellness Engagement Unit Diversity, [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":5167,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"tags":[],"class_list":["post-5205","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v21.5 (Yoast SEO v27.6) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>NIAC Forms - 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