Membership

Fountain House is dedicated to the recovery of men and women with mental illness by providing opportunities for our members to live, work, and learn, while contributing their talents through a community of mutual support. At Fountain House members and staff work together in the running of the clubhouse. Members volunteer their time in various units. It is by working side by side that relationships between and among members and staff are developed and it is through these relationships and work that members build skills, develop a sense of purpose and re-enter the community as co-workers, neighbors, and friends.

To be eligible for membership an applicant must

  1. Be interested in attending Fountain House, as membership is voluntary
  2. Have a primary presenting problem associated with severe and persistent mental illness
  3. Be able to get to Fountain House
  4. Not pose a threat to our community
  5. Be at least 16 years of age

When applying for Home and Community Based Services (HCBS) at Fountain House please mail application materials along with a Plan of Care (POC) to Nicole Pickett, MSEd, Director of Managed Care Relations via fax, (212) 582-9869 or to the Fountain House address above, Attn: Nicole Pickett. If you have questions about HCBS at FH, please call (212) 582-3155. 

How to apply:

To be considered for membership, the following three documents must be submitted: 

  1. A completed application and application cover sheet
  2. A comprehensive psychosocial history, current or updated within 90 days
  3. A current psychiatric assessment, written within the last 90 days
  4. Copies of all Health Insurance cards
  5. A supplementary substance abuse questionnaire

You may apply online using this link or by mail/fax with this printable application. Click here to download the application. 

The supplementary substance abuse questionnaire, which is required by one of our funding sources and is not considered in determining eligibility, should also be completed and submitted at the time of application. 

If you have any questions or if you prefer to receive the application by mail, please contact the Fountain House Membership Office at 212-582-0340 ext. 240 or ext. 236 from 9am to 5pm Eastern Time. We also invite you to come in for a tour of Fountain House.  If you are interested in having a tour, please contact our Tour Center at 212-582-0340 ext. 308.

When mailing materials, please direct them to the Membership Office at Fountain House, 425 West 47th Street, New York, NY 10036. To fax materials, please use (212) 664-0750 and send to the attention of the Membership Office.

Please clearly mark all application materials Attention: Membership Office.

When applying for Home and Community Based Services (HCBS) at Fountain House please mail application materials along with a Plan of Care (POC) to Nicole Pickett, MSEd, Director of Managed Care Relations via fax, (212) 582-9869 or to the Fountain House address above, Attn: Nicole Pickett.  If you have questions about HCBS at FH, please call (212) 582-3155.

 

For Returning Members: 

If you have previously attended Fountain House and would like to return, please visit the Welcome Center any time, Monday through Friday, from 9:00 am to 5:00 pm to fill out new paperwork. It would be helpful to contact your service providers in advance to ask for updated paperwork to be sent to Fountain House (psychiatric evaluation and psychosocial done within 90 days). This paperwork can be faxed to membership at (212) 664-0750, emailed to membership@fountainhouse.org or mailed to us or you can bring it with you when you come in. Members are entitled to immediate re-entry if there are no concerns.  

 

FOUNTAIN HOUSE BRONX

You may also apply for membership at Fountain House Bronx.

To be eligible for membership an applicant must:

  1. Be interested in attending Fountain House Bronx, as membership is voluntary
  2. Have a primary presenting problem associated with severe and persistent mental illness
  3. Be able to get to Fountain House Bronx
  4. Not pose a threat to our community
  5. Be at least 16 years of age

How to apply:

To apply please submit the following documents to the Membership Office:

  1. A completed Fountain House Bronx Membership Application
  2. A comprehensive psychosocial summary, current or updated within the last 90 days
  3. A current psychiatric assessment, written within the last 90 days
  4. Copies of all Health Insurance cards
  5. A supplementary substance abuse questionnaire (included in application) 

If you have any questions or if you prefer to receive the application by mail, please contact the Membership Office at 718-742- 9884 ext. 18.

Applications may be sent via fax to (718) 742 - 9867 or mailed to Fountain House Bronx, 564 Walton Avenue, Bronx, NY 10451.

Please clearly mark all application materials Attention: Membership Office.

 

 

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