NYS Office of Addiction Services and Supports (NYS OASAS)
OASAS Registration Form
To register for a new OASAS account, please fill out the form below. Fields marked with an asterisk * are required.
First Name: *
MI:
Last Name: *
Your Street Address: *
City: *
ST: *
Zip Code: *
Your Email Address: *
Your Phone Number: *
Create a Password: *

Repeat Password: *
Last 4 digits of Your SSN: *
Your Birth Date (mo/dy/year): *
Credentialing Counselor Number (optional):
Are you currently Employed? *
Name of Your Current Employer: *
Is your employer approved by OASAS to provide screening, assessment, and treatment services to impaired driving offenders? *