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Interested in receiving Care Coordination Services?

The first step is to complete the form below. Upon receipt, we will send you an Enrollment consent packet to get you started on the process. To initiate the OPWDD Process, you must complete this form in its entirety

Person in Need of Care Management

Address

Primary Contact or Authorized Signer

Person Completing Form

We thank you for your interest in Care Design NY. One of our Enrollment Coordinators will connect with you as soon as possible to provide you with further information about the enrollment process. If you have additional questions, please call our central enrollment number at 518-320-8400. We look forward to working with you. Please note that all inquiries are answered in the order received, so your patience is greatly appreciated.