top of page

Admissions

Taking the first step toward care can feel overwhelming. Whether you’re seeking services for yourself or someone you care about, our admissions team is here to help guide you through the process.  Our team offers pre-admission assessments by phone.  You can begin the process by completing an inquiry form below.​​

How to Make a Referral

Residential Services

518.407.0565  ext 511

Outpatient Services

518.434.2367 ext 110

 Prevention Services

518.917.2930

Admission Inquiry Form

ADMISSION INQUIRY

Multi-line address
Birthday
Month
Day
Year
Insurance Name
Please select your housing situation
Do you inject non-prescription drugs using a needle/syringe?
Yes
No
Are you currently pregnant?
Yes
No
Today's Date
Month
Day
Year

Admissions Paperwork Required

Documents required to complete assessment:

  1. Photo ID (Driver's License, Non-Driver's ID or Passport

  2. Birth Certificate

  3. Social Security Card

  4. Copy of Insurance Card(s)

For Residential Services ONLY

  1. Proof of application for Temporary Assistance with caseworker contact information

  2. LOCADTR

  3. Referral Letter

  4. Phone Screening

  5. Psychosocial/Comprehensive Psychiatric Evaluation

  6. Medical History & Physical

  7. Drug Screen

  8. Intradermal PPD

  9. List of Current Medications

  10. Mandate Letter (if applicable)

Planning For Admission

Preparing ahead of time can help your visit or admission go more smoothly.
What you need to bring depends on the type of services you are accessing at ACCA.

For detailed Outpatient Admissions & Assessment Information, click here. 
For detailed Residential Admissions & Assessment Information, click here.
 

bottom of page