To better protect public health, tours of Merrick, Inc., have been suspended until further notice.
Thank you for your interest in Merrick, Inc. Please complete the following form to start the application process.
While completing the application, you will be asked general questions about the individual being served, their desired service area(s), diagnosis, funding type, vocational history, and contact information for the individual’s support team. At the end of the application, you will be asked to upload the following documents.
- Coordinated Service and Support Plan (CSSP)
- Psychological Assessment
We ask that you have these documents ready as the application cannot be saved.
If you have additional questions regarding intake, referrals, or transition, please contact
For information specific to Merrick’s Adult Day Services, contact