Michelle Lujan Grisham, Governor

Kari Armijo, Acting Secretary

Nick Boukas, Director, BHSD

Contacts

Register Admins for Roster System

Please fill out the following form to register the person(s) at your agency who will be granted editing capabilities for the online roster database. We limit signing capabilities to one user for maximum security purposes. This user represents the Clinical Director, Clinical Supervisor, CEO, or Executive Director by signing roster updates.

BHSD Roster Access

Agency Information

Administrative Physical Address *
Administrative Physical Address
City
State/Province
Zip/Postal
Country
Job Title *
Agency Type *

User Information

Please identify ONE person who will be granted updating capabilities within your organization below. There is only ONE email associated with your roster updates for security purposes. 

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