Additional Requirements Section
Does your organization provide any of the following Tele-services?
Does your organization provide any of the following forms of transportation assistance?
Referral Process: Do you need to be referred to receive services?
If Yes, please describe the referral process?
Physicians order to evaluate and treat
Payments: Which form of payments does your organization accept?
Are there additional criteria for clients to receive services?
Must meet medical necessity for appropriate level of care
Is there public transportation available with one mile of your company/agency? (Does the city bus route have a stop within walking distance?)