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)
  • History and Physical -Part B
  • Psychosocial –Part C
  • 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