- Please use this form to renew a license.
Service Modification Application - Please use this form when you are already licensed and want to want to modify the license or add a service or location. Please submit the completed form 30-60 days prior to implementation of the modification.
Due to budget reductions, the Office of Licensing is no longer able to offer live training for applicants interested in becoming providers of all other services – with the exception of children's residential services. We highly recommend our new training DVD that will provide you with the information you need to successfully apply for a license and manage your program.
The Training DVD includes a recording of the actual training, plus comments by the offices of Human Rights and Intellectual Disabilities. Also included is the entire application packet containing regulatory information, application materials and management tools. Once purchased, you will own the DVD, be able to refer back to it repeatedly and share it with your staff at a time convenient for you.
To order the DVD (the entire application packet will be included with your DVD) please send your payment of $75.00 along with the completed order form.
(If you only want the application packet, you may send $35.00 and the completed order form, or you may download the application packet materials for free using the links above.)
The Department can only accept payments in the form of a check or money order. The following licensing services are available to providers and provider-applicants:
- There is a $35.00 fee if you opt to receive the Initial Provider Application packet through the mail; or choose to download the packet for free using the links above.
Please mail the completed order form with a CHECK or MONEY ORDER to the following address. If you have any questions, you may phone (804) 786-9302.
- The cost of the Initial Provider Training DVD — plus the entire application packet — is $75.00
DBHDS, Office of Licensing
Attention: Office of Licensing
P.O. Box 1797
Richmond, VA 23218-1797