New Hope Manor

Intensive Residence      Ph.:  845-557-8353  Fax:  845-557-8884

Community Residence Ph.: 845-452-2870   Fax: 845-471-8061



Date:


Name:


Date of Birth:


The above named has applied for admittance to New Hope Manor, 35 Hillside Road, Barryville, NY 12719 an 820 residential alcohol and drug treatment facility licensed by New York State OASAS.


New Hope Manor is a residential program with Congregate Care II housing for substance use disorders for women with their children.  As part of our intake process we are requesting that all of our referrals apply for approval for out-of-county services and temporary assistance from the county in which they live before they arrive for treatment.


Please provide proof (document sheet or letter) that the above names is out of county approved and has applied for temporary assistance along with the name of a contact person and their information.

If you have any questions, please do not hesitate to contact Lisa Geoghan (845) 557-8353 ext. 339 or fax (845)557-6603.  Thank you for your assistance.