Crisis Stabilization Unit Georgia Department of Behavioral Health & Developmental Disabilities Frank W. Berry, Commissioner Behavioral Health Licensing Unit Two Peachtree Street NW, Suite 23.277, , GA 30303-3142 Telephone 404-657-1652 Fax 770-359-4655 Application packet for RENEWAL Licensure This is an application to for a renewal of a Crisis Stabilization Unit License. Other requirements for licensure and informational materials are available on line at A Crisis Stabilization Unit (CSU) is a medically monitored, short-term residential program licensed by the Department of Behavioral Health and Developmental Disabilities (DBHDD) as an emergency receiving and evaluating facility to provide psychiatric stabilization and detoxification services (24) hours a day, seven (7) days a week. If a CSU operates a Crisis Service Center (CSC) and/or Temporary Observation (Temp Obs) area in conjunction with the CSU, these areas are considered a part of the CSU as determined necessary and applicable by DBHDD to meet the needs of individuals in a safe, therapeutic environment. OCGA 82-3-1-.03(15) This application may be used to for: Renewal of a currently held CSU license. No application will be acted upon until the Department determines that the application is complete with all required attachments submitted, as required by the Rules and Regulations for the Department of Behavioral Health and Developmental Disabilities, Adult Crisis Stabilization Units, Chapter 82-3-1, and Child and Adolescent Crisis Stabilization Units, Chapter 82-4-1. It be the responsibility of the CSU to complete and submit a renewal application for licensure which is postmarked at least 90 calendar days prior to the expiration date of the current license. Prior to the expiration of the initial license, the Department shall conduct a review of the CSU for compliance with all applicable rules and regulations; Pursuant to a satisfactory review, the Department shall issue a license which shall be valid for a period of up to two years; If the CSU fails to submit the completed renewal application, the Department shall provide notice by certified mail advising that unless the renewal application and licensure review is satisfactorily completed, the CSU is operating without a valid license and is subject to sanctions. Note: A separate application for renewal licensure must be submitted for each CSU location.
Georgia Department of Behavioral Health & Developmental Disabilities Frank W. Berry, Commissioner Behavioral Health Licensing Unit Two Peachtree Street NW, Suite 23.277, , GA 30303-3142 Telephone 404-657-1652 Fax 770-359-4655 Crisis Stabilization Unit Application packet for RENEWAL Licensure This is an application to for a renewal of a Crisis Stabilization Unit License. Other requirements for licensure and informational materials are available on line at A Crisis Stabilization Unit (CSU) is a medically monitored, short-term residential program licensed by the Department of Behavioral Health and Developmental Disabilities (DBHDD) as an emergency receiving and evaluating facility to provide psychiatric stabilization and detoxification services (24) hours a day, seven (7) days a week. If a CSU operates a Crisis Service Center (CSC) and/or Temporary Observation (Temp Obs) area in conjunction with the CSU, these areas are considered a part of the CSU as determined necessary and applicable by DBHDD to meet the needs of individuals in a safe, therapeutic environment. OCGA 82-3-1-.03(15) This application may be used to for: Renewal of a currently held CSU license. No application will be acted upon until the Department determines that the application is complete with all required attachments submitted, as required by the Rules and Regulations for the Department of Behavioral Health and Developmental Disabilities, Adult Crisis Stabilization Units, Chapter 82-3-1, and Child and Adolescent Crisis Stabilization Units, Chapter 82-4-1. It be the responsibility of the CSU to complete and submit a renewal application for licensure which is postmarked at least 90 calendar days prior to the expiration date of the current license. Prior to the expiration of the initial license, the Department shall conduct a review of the CSU for compliance with all applicable rules and regulations; Pursuant to a satisfactory review, the Department shall issue a license which shall be valid for a period of up to two years; If the CSU fails to submit the completed renewal application, the Department shall provide notice by certified mail advising that unless the renewal application and licensure review is satisfactorily completed, the CSU is operating without a valid license and is subject to sanctions. Note: A separate application for renewal licensure must be submitted for each CSU location.
CSU_Application_for_Renewal_%20Revised%202.27.15.docx