Niagara County AOT Program Application Guide
This document provides essential information on how to apply for the Assisted Outpatient Treatment (AOT) Program. It outlines eligibility criteria, application instructions, and contact information. Users can refer to this guide for completing the AOT application and understanding the services offered.
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How do I fill this out?
To fill out the AOT Program Application, please begin by reviewing the eligibility requirements carefully. Ensure that all sections are completed legibly and accurately to avoid delays. Finally, compile the necessary supporting documentation before submission.

How to fill out the Niagara County AOT Program Application Guide?
1
Review the application guide for instructions.
2
Complete all sections of the application form.
3
Attach supporting documentation for mental health diagnoses.
4
Sign the required consent forms.
5
Submit the application via mail or fax.
Who needs the Niagara County AOT Program Application Guide?
1
Individuals seeking mental health services for themselves.
2
Mental health professionals referring clients for additional support.
3
Families wanting to initiate treatment for a relative struggling with mental illness.
4
Case managers looking for coordinated treatment options for clients.
5
Community organizations aiming to assist their constituents with mental health issues.
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What are the instructions for submitting this form?
To submit the AOT Program Application, please complete all required sections and attach any necessary supporting documentation. Applications can be mailed to: Niagara County Dept. of Mental Health & Substance Abuse Services, 5467 Upper Mountain Rd. Suite 200 Lockport, NY 14094. Alternatively, you may fax the completed application to (716) 439-7418. For assistance or questions, call us at (716) 439-7412 or (716) 285-3518.
What are the important dates for this form in 2024 and 2025?
Important dates related to the AOT program will vary based on annual assessments and potential changes in law. For the years 2024 and 2025, keep an eye on updated guidelines to ensure compliance and timely application. Always check with local services for specific deadlines.

What is the purpose of this form?
The purpose of this form is to facilitate access to Assisted Outpatient Treatment under Kendra's Law. It is critical for individuals suffering from mental illness to gain necessary support to ensure safety and well-being. By completing this form, applicants can initiate the process for receiving tailored mental health care in a structured and supportive environment.

Tell me about this form and its components and fields line-by-line.

- 1. Personal Information: Includes name, address, date of birth, and contact details.
- 2. Mental Health Diagnosis: Requires documentation of the current mental health diagnosis.
- 3. Consent Forms: Includes sections for various mental health service providers.
- 4. Support Documentation: Lists necessary additional documents needed for eligibility assessment.
What happens if I fail to submit this form?
Failing to submit this form may result in a delay in accessing necessary mental health services. Required documentation and consent forms are crucial to process your application promptly. Incomplete submissions can hinder timely support.
- Incomplete Information: Leaving sections blank may lead to application denial.
- Missing Documentation: Failure to include supporting documents can delay processing.
- Incorrect Consent: Improperly signed consent forms may invalidate your application.
How do I know when to use this form?

- 1. For Personal Application: Individuals applying for treatment on their own behalf.
- 2. Referrals by Professionals: Mental health providers referring patients needing oversight.
- 3. Family Initiated Applications: Family members seeking help for a loved one in crisis.
Frequently Asked Questions
What is the purpose of this form?
The AOT Program Application form is intended for individuals seeking assisted outpatient treatment, outlining eligibility and application procedures.
How do I submit this form?
You can submit this form via mail or fax to the provided address or number listed in the guide.
Can I edit this form?
Yes, you can edit the PDF using PrintFriendly prior to submission.
What if I have questions about filling out this form?
Feel free to contact the Niagara County Department of Mental Health for assistance.
What information do I need to provide?
You will need to provide personal information as well as documentation of your mental health diagnosis.
Is a signature required?
Yes, you must provide a signature on the consent forms attached to the application.
How long does it take to process the application?
Processing times may vary depending on the completeness of your submission.
What happens after I submit the form?
After submission, your application will be reviewed, and you will be contacted regarding eligibility.
Are there deadlines for submission?
Ensure to check the specific deadlines indicated in the application guide.
Can someone else fill out the application for me?
Yes, a friend, family member, or professional can assist you in completing the application.