Addiction Treatment Telehealth Supply Request Form

Streamline Your Telehealth Supply Requests for Addiction Treatment Programs

Managing a modern addiction treatment facility requires specialized equipment and technology to deliver effective virtual care. This Addiction Treatment Telehealth Supply Request Form helps behavioral health providers, recovery centers, and addiction treatment facilities efficiently request the materials, equipment, and technology needed to support remote monitoring, virtual therapy sessions, and telehealth program delivery.

Whether you're expanding your program capacity, upgrading your HIPAA-compliant technology stack, or replacing essential remote monitoring equipment, this template provides a structured way to capture all necessary details—from equipment specifications and budget considerations to compliance requirements and urgency levels.

Built for Addiction Recovery and Behavioral Health

This form is specifically designed for addiction treatment coordinators, telehealth program managers, clinical directors, and facility operations teams who need to request:

• Telehealth platforms and licenses for individual and group therapy sessions
• Remote patient monitoring devices including biometric sensors and medication adherence tools
• HIPAA-compliant communication technology such as secure tablets, computers, and headsets
• Virtual therapy equipment including cameras, lighting, and audio systems
• Supporting supplies for client-facing telehealth stations and staff workspaces

Maintain Compliance While Scaling Your Program

With built-in fields for HIPAA compliance verification, security requirements, and data protection needs, this form ensures every supply request aligns with healthcare regulations and your organization's privacy standards. You can track program capacity needs, specify whether equipment will be used for client-facing or staff purposes, and document the clinical justification for each request.

Automate Your Procurement Workflow with Stepper

Once you capture supply requests through Paperform, connect to Stepper to automate your entire procurement workflow. Automatically route requests to appropriate approval chains based on budget thresholds, send notifications to procurement teams, update inventory management systems, and create purchase orders—all without manual data entry. This means faster turnaround times for critical equipment requests and better visibility into your telehealth infrastructure investments.

Track, Approve, and Fulfill Requests Efficiently

This template gives you the flexibility to customize approval workflows, connect to your existing procurement or asset management systems, and maintain a clear audit trail of all technology and supply requests. With conditional logic built in, you can show relevant fields based on equipment type, automatically calculate total costs, and ensure requesters provide all necessary information upfront.

Whether you're a small outpatient program or a large residential treatment facility, this form helps you maintain the technology infrastructure needed to deliver high-quality, accessible addiction treatment services in an increasingly virtual care environment.