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Please fill out the below fields to request a Screener contact you to determine eligibility. ​We will contact people in the order in which they submit the screening.

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Please note that a screening takes about 20 minutes per household member.​

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If you have any questions, please email referrals@cayugacounseling.org

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Please note: The screener may call you from an uknown or private number.

Birthday
Month
Day
Year
What insurance do you have?
Fidelis Medicaid
Excellus Medicaid
United Healthcare Medicaid
Cayuga Counseling is partnering with Cayuga Community Health Network to complete screenings. Please check below if you give us permission to share your information with Cayuga Community Health Network (CCHN) so they can complete your screening.

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17 E. Genesee Street, Auburn, NY 13021

Tel: 315-253-9795

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