Resources for Providers

ATR Provider Information

Application Process for Prospective Providers

Complete, sign, and return the Provider Checklist (click to download) which lists all of the required documentation and steps to be taken to become an ATR provider. Any forms referenced on the checklist can be downloaded here: Sign the checklist form and return it with your packet to:
Steve Keller
c/o Advocates for Human Potential
490-B Boston Post Road
Sudbury, MA 01776
 
For questions about the application process or any of the required documentation, please contact Steve Keller at:
Phone: 978-261-1411; or
Email: skeller@ahpnet.com

Application Process for Active Providers continuing in STR-grant funding


This renewal application applies only to previously contracted provider from ATR4 who wish to continue providing services to ATR participants in the new round of grant funding (STR). Please click the link below to download the ATR Provider Renewal Application. Any required forms can be found at the end of the application.
Submit renewal applications and direct any questions to Steve Keller at:
Phone: 978-261-1411; or
Email: skeller@ahpnet.com

Payment of Services for Active Providers

CLICK HERE for detailed information on payment of services.