Forms & Applications


 

Please select a link below to process one of our applications: 

pdfCars Jail Assessment~Request Form

pdfCars Employment Application

 

Updated Referral Application:

pdfResidential Addiction Recovery Center - Application Packet

Please go to the FAQ page to see what items should or should not be brought to the Residential Addiction Recovery Center(https://www.carsny.org/contents/resources/frequently-asked-questions)

What You Have To Do Differently

  • You are not required, in most cases, to go through the time-consuming process of DSS approval any longer. We hope this will allow us to say "Yes" much quicker in the future.
  • Complete and submit the new referral application in order to determine clinical approval and who the payer is (http://www.carsny.org/resources/forms-applications/)
  • Complete the LOCADTR 3.0 in the Health Commerce System
  • (https://commerce.health.state.ny.us/public/hcs_login.html)
  • Obtain and submit a Court Mandate letter for clients who are mandated to treatment
  • Depending on the payer, we may ask you to obtain a pre-authorization number

 

Self Assessment Tools:

pdfCAGE-AID Self-Administered Drug/Alcohol Screening

If you have any questions or concerns after you have completed the questionnaire, or you would like to set up an appointment for an evaluation, please call 607-273-5500 to speak to our admissions coordinator. 

Our Locations

Choose your preferred location