Download, print, and complete our Adult Referral Form and Consent Form:

English version:
Adult Referral Form
Consent Form

Spanish version:
Adult Referral Form
Consent Form

Contact Jan Moag, SPOA Coordinator, for help with adult referrals.


You may also see our
Frequently Asked Questions page.

Download, print and complete our
Children & Family Services Referral Form


Mail or fax referral to:
Onondaga Case Management Services
220 Herald Place, 3rd Floor
Syracuse, NY 13202
Phone: (315) 472-7363
Fax: (315) 472-0084


Please do not use email when submitting a referral.  This is not a secure method.