Stabilization Programming Application

Thank you for your referral to Stabilization Programming at Northpointe Council, Inc.’s First Step Center. Please review and complete all portions of this application and include the following:

• HIPPA Compliant Release between your Agency and Northpointe Council, Inc.

• LOCADTR 3.0

• Completed Bio/Psych/Social Assessment (Completed within the last 6 Months)

• Completed Medical Assessment (Completed within the last 12 Months)

• Completed Psychiatric Evaluation (Completed within the last 6 Months)

Please return completed Applications to: FAX: (716) 285-3438 Attention: Admissions

Download Application Here