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Kenneth W. Jenkins
Westchester County Executive

Department of Community Mental Health

Michael Orth, MSW
Commissioner
SPOA UNIT
Adult Mental Health Services
Westchester County Department of Community Mental Health
112 East Post Road, 2nd Floor
White Plains, NY 10601
Fax (914) 813-4364

Please review all information below before continuing to the next page.

1. Referrals will not be considered complete without:

    Completed SPOA Application (do not write "see attached")
    Clinical Information including uploaded 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.

NOTE: Information is not saved if you leave the application prior to submitting. Please complete the application entirely, upload the required documentation and press “Submit and Save” to retain a pdf of the submitted application. If you have questions, please call (914) 995-5078.

Go to Adult SPOA Application