We're committed to a personalized treatment and help for every client. Apply for admission here.
1550 -A Union Rd , Gastonia NC 28054
704.874.1813
Admissions
Step 1. Gather All Documentation Needed
The following documentation is needed in order to complete an application :
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Current Psychiatric Evaluation and/or Assessment
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Person Centered Plan from current program
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Complete Residential Application
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List of Current Medications
Step 2. Submit Referral and Documentation
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.
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Birth Certificate and Social Security Card
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Immunization Record
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Court order of guardianship (if dependent)
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Updated PCP reflecting Residential level III Service with a physician order (Physician Signature)
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Comprehensive Clinical Assessment with a recommendation for Residential level III Service
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School information, including IEP/504 ( Please include Name Address & Phone Number of current school or last school attended with last date of attendance
Supporting Documentation (needed if accepted):
Step 3. Admission
*Please Note A Hard Copy Order For All Current Medications Is Required At Admission*
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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.