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Click ‘Get Form’ to open the spoa application in our editor.
Begin by filling in your personal information, including your last name, first name, and Social Security Number (SSN). Ensure that your address is complete with street, apartment number, town, state, and zip code.
In the demographic information section, provide your date of birth (DOB), race, age, gender, and ethnicity. Select the primary language spoken at home and during service provision.
Indicate your entitlements by checking all applicable boxes for Medicaid, Medicare, or private insurance. Fill in any relevant numbers associated with these entitlements.
Complete the referral source section by selecting how you were referred for services. Provide details about the referring individual or agency.
Detail any psychiatric diagnoses and medical conditions in the respective sections. Attach supporting documentation if necessary.
Finally, review all entries for accuracy before submitting the form through our platform for processing.
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What is the Nassau County Affordable Housing Program?
Nassau County participates in the State Housing Initiatives Partnership (SHIP) Program which provides affordable housing assistance to very low, low, and moderate-income families who meet all the requirements listed in Florida Statutes, Section 420.907, Florida Administrative Code 67-37, and Nassau Countys Local
What is Spoa, Nassau County?
Nassau County Childrens Single Point of Access CSPOA. Nassau Countys Office of Mental Health provides several In-Home programs for children diagnosed with a Serious Emotional Disturbance (SED). These services are provided through CSPOA. All CSPOA programs are voluntary.
How to get emergency housing in Nassau County?
The INNs emergency shelters provide housing and supportive services for guests experiencing the trauma of homelessness. The INN has two emergency shelters in Nassau Countyone family shelter and one shelter for single men. The INN shelters are open all year long and staffed 24 hours a day, 7 days a week.
Change in role of C-SPOA: C-SPOAs now coordinate development and maintenance of the local SOCs. Collaboration with Project AWARE: This project builds school
Childrens Single Point of Access Application Part 1
Medicaid/CIN#. Check if the youth is eligible for any of the following: Title IV-E. SSI. SSDI. People with the following immigration status may be eligible
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