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Enrollment Process

Step 2- Fill Out Referral Form 

Step 4- Schedule a Tour of our program

Step 3- Fill out In-Take Application

Step 5- Care Managers must provide Documents

Step 1- HIPPA Privacy Consent

Complete HIPPA Consent 

Complete Referral Form 

Fill out In-Take Application Forms 

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Contact us at 347-502-2956 to schedule a tour of our facility

Care Managers must submit the following documents:

     -Psychological and Psychosocial Evaluations

     -Level of Care

     -Life Plan

     -Notice of Decision

     -Service Authorization

     -DDP2

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