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REFERRAL INFORMATION
For a client to enroll in either PRIDE Site residential or Project Contact outpatient, they must have New York state based Medicaid. To refer a client, please send their name, Medicaid ID number, email address, phone number, and address to crwintake@edalliance.org. A clinician will then contact the client to schedule a tele-health intake appointment.
Additional items needed for referral to PRIDE Site residential:
- Contact info of referent (phone and email on cover sheet)
- Client target d/c date
- Insurance info- Face Sheet
- Copy of Pic ID (benefit card is okay if that is only ID)
- PPD (or chest X-ray if h/o +PPD)
- Labs
- Psych Eval (only if client has had recent acute symptoms, high risk behavior, hospitalization(s) , or SI/HI)
Have questions about enrolling in Pride Site Residential or Project Contact Outpatient? Please use the contact information below:
Suzette Ross, LCSW
Director of Admissions
25-29 Avenue D, New York, NY 10009
646-395-4406
sross@edalliance.org