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APPLY FOR ADMISSION

Choosing a residential mental health program is an important decision. 

Our admissions process is highly personalized. During your first phone call or email conversation, our team members will take the time to share information about our program, answer questions, and learn more about the individual seeking treatment.


If Gould Farm seems to be a potential fit, our team will recommend that the admissions forms be filled out by the potential guest and/or their family, as well as the referring clinician. Records and discharge summaries from past psychiatric treatment, hospital stays, or other residential programs will also be needed.

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Once we have reviewed all the forms and paperwork, the applicant and family may be invited to visit the farm and interview, either in person or virtually. 

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An offer of admission includes a two-week trial period.  If Gould Farm is a good mutual fit, the applicant remains in the program with no disruption.

Steps in the Admission Process

01

The admissions process begins with a phone call or email. Please call our admissions team before submitting any forms. The prospective guest, their family member, or the treatment provider are all welcome to call. You can also reach us by email at admissions@gouldfarm.org

02

The Admission Application can be completed by the applicant and/or family member and includes personal, social, health and treatment information. In addition to this application, we welcome any written narratives submitted by the family.

03

The Referral Form is to be completed and signed by the current attending outpatient psychiatrist and should include supporting documents such as lab results and psychiatric evaluations. If the applicant is hospitalized, we request full records for the current and all past hospitalizations.

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This form is a writable PDF file that can be downloaded and filled out electronically by the provider or you may print it out and bring it to the provider. They may then fill it out and send it back to Gould Farm. 

04

The Release of Information (ROI) form should be completed, signed, and forwarded directly to the Medical Records Department of each hospital or agency that has provided psychiatric treatment for the applicant.

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Please send any past records from hospitals, therapists, psychiatrists, or other information you think would be helpful.

05

To determine financial eligibility, please complete the Application for Financial Assistance. Gould Farm is committed to the affordability of residential treatment. Through the generosity of many donors, we extend financial assistance to qualifying families. 

Have more questions?

TAMARA MCKERNAN, LICSW

Director of Admissions

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