If you are interested in attending any of our programs, the following forms are required.

Introduction to Admissions Form

Admissions Application Form

Developmental Disabilities Profile Registration / Movement Form

SEC Medical Form (must be filed out entirely and signed by doctor)

Fall 2010 Registration Form for
HCB Medicaid Wavier/ Non-Wavier Participant Living at Home

Fall 2010 Registration Form for
IRA/ Independent Living/ Group Home Residence

Winter 2011 Registration Form for
HCB Medicaid Wavier/ Non-Wavier Participant Living at Home

Winter 2011 Registration Form for
IRA/ Independent Living/ Group Home Residence

Anyone wishing information on South East Consortium or an application to enroll in programs should contact our office at (914) 698-5232.

 

FALL 2010/WINTER 2011 BROCHURE for HCB MEDICIAD WAVIER/ NON-WAVIER Participant Living at Home

FALL 2010/WINTER 2011 BROCHURE for IRA/ Independent Living/ Group Home Residence

SPRING/SUMMER 2010 BROCHURE