START Intake Form

top of page

HOME
ABOUT
BUSINESS OPPORTUNITIES
CAREERS
More

Use tab to navigate through the menu items.

Welcome to START

START takes a person-centered, whole-person approach to addressing the wellness and health-related needs of our communities by meeting people where they are. We are committed to providing the highest quality, comprehensive care, including harm reduction and treatment services for people who use drugs and/or have mental health challenges.

Please specify what kind of services are of interest to you (choose all that apply):

Adolescent therapy (virtual and in person)

Treatment for Opioid Use Disorder (OUD)

Intensive outpatient services for people with mental health and substance use disorders

Treatment for alcohol use disorder (AUD)

Treatment for other substance use disorder (SUD)

Other

Click here if you would like to receive a call from a START team member to learn more about or sign up for our services. Please provide the following information, and we will contact you the next business day (Monday – Friday).

**If you do not check this box, we will call without leaving a message until we reach you directly.

Preferred Name

Contact Preference

Email

Phone

Email Address

Phone Number *

Check here if you give us permission to identify ourselves as "START NY" when we contact.

How did you hear about START?

Thank you! We'll get back to you within one business day.

bottom of page