Treatment Data System Forms

These forms are viewable or printable using Acrobat Reader. The free Adobe Acrobat Reader is necessary to view them. Printouts of these documents are also available upon request.

Admission Form

A-1 Admission Form (PDF)

Discharge Form

D-1 Discharge Form (PDF)

Detox/Shelter Form

A-D Detoxification/Shelter Form (PDF)

Opioid Replacement Therapy (ORT) Update Form

Opioid Replacement Therapy (ORT) Update Form (PDF)

If you have any questions about these forms, please contact the TDS Helpdesk at 287-4699 or by email at TDS.Helpdesk@maine.gov. Please print and copy as needed.

Office INFORMATION