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Now accepting Telehealth appointments!


Forms & Applications

See the last two pages of the Application Packet (download available above) for what items should and should not be brought for a stay at the Residential Center.

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
  • Complete the LOCADTR 3.0 in the Health Commerce System (HERE)
  • 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

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, or reach out to us on our contact page: