Adult SPOA Application

1. Please review REQUIRED DOCUMENTATION FORM below. Referrals will not be considered complete without:

Completed SPOA Application (do not write "see attached")
Clinical Information including psychosocial and psychiatric evaluation.
Do not send progress notes or treatment plans in lieu of these.

2. Upon receipt, applications will be reviewed by DCMH for eligibility and completeness. Due to high application volume,
    we cannot return ineligible or incomplete applications. Please contact our office to follow up on your submission.

3. Please note that family housing is not available outside of the Family Rental Assistance Program, which is
    exclusively for families experiencing homelessness.

4. For questions regarding the SPOA application, status inquiries, or eligibility, please call (914) 995-5078.