Provider Login Request FormNeed additional assistance?(419) 352-8475wcadamhs@wcadamh.org Name * First Name Last Name Title * Agency Name * Agency Email * Only users who request access with a valid agency email address will be given access to the provider page. A member of the WCADAMHS Staff will answer your request promptly. Please note that this form is not monitored 24/7 and the Board business hours are Mon. - Fri. 8 a.m. - 4 p.m. Closed all major holidays and weekends.
