Admissions Process                                                                                                      

Step 1 – Gather All Documentation Needed                                                                          

The following documentation is needed in order to complete an application :

 

  1. Current Psychiatric Evaluation and/or Assessment
  2. Person Centered  Plan from current program
  3. Complete Residential Application  ( located under the Forms tab @ top of page Click Admissions then Forms)
  4. List of Current Medications
 

Step 2 – Submit Referral and Documentation

 

To submit a referral, please email referral@newhopehome.org

Please provide all of the above needed (1-4)

 

The Clinical Team will review the information within 24 hours. An admissions Coordinator will contact you to discuss the referral and to make arrangements for  submitting a Service Authorization Request.

 

* Supporting Documentation (needed if accepted):

  1. Birth Certificate and Social Security Card
  2. Immunization Record
  3. Court order of guardianship (if dependent)
  4. Updated PCP reflecting Residential level III Service with a physican order (Physician Signiture)
  5. Comprehensive Clinical Assessment with a recommendation for  Residential level III Service
  6. Discharge Plan ( located under the Forms tab @ top of page Click Admissions then Forms)
  7. Calocus ( located under the Forms tab @ top of page Click Admissions then Forms)
  8. School information, including IEP/504 ( Please include Name Address & Phone Number of  current school or last school attended with last date of attendance

 

Step 3 – Admission

 

Once Prior Authorization has been approved The legal guardian will need to sign admission paperwork prior to or at the time of admission. At the time of admission the individual will need to bring  a Prescription for a 30 day supply for all medications to be filled at the local pharmacy and two weeks of weather appropriate clothing.   *  Please Note A Hard Copy Order For All Current Medications Is Required At Admission *
 
All admissions take place at the administrative office located 1550-A Union Rd Gastonia 28054. Please  allow for a two hour period to complete the admission process.
704.874.1813 EXT 1
Fax 704.874.1803
  • w-facebook
  • Twitter Clean
  • w-googleplus
  • W-Pinterest