• CMHPSM CRCT Provider Login Request

  • This form submits to the CMHPSM and should be used by organizations contracted directly with the CMHPSM (i.e Substance Use Disorder Treatment Service Providers).

    All mental health providers with CRCT login requests should visit their local CMH website or contact the local CMH directly. 

  • Requestor needs to be a supervisor or designated CRCT support person. The requestor needs to be different than the user/employee the request is being made for. Please contact the help desk if you need further assistance.

  • Create new CRCT employee account or edit existing CRCT account access:

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  • Account Access:

  • Remove the following individual(s) from CRCT on effective date:

  •  -  - Pick a Date
  •  -  - Pick a Date
  •  -  - Pick a Date
    • CMHPSM Staff Section  
    •  -  - Pick a Date
    • Should be Empty: