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EIHAB Human Services

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Pennsylvania Service Locations

INDIVIDUAL COMMUNITY

Lehigh, Pennsylvania Tunkhannock, Pennsylvania

RESIDENTIAL SUPPORTS

Lehigh, Pennsylvania Tunkhannock, Pennsylvania

Submit Referral Form

Your First Name

Your Last Name

Your Email

Your Phone

What is your relation to Person Applying:

Self

Care Manager

Parent

Family

Other (indicate in comment)

Which Services Are You Interested in?

Residential

Community Habilitation

Residing County

Does the person have CCP or SP? * Required

Yes

No

Not Sure

Does the person have ODP eligibility? * Required

Yes

No

How Did You Hear About Us?

Person's First Name

Person's Last Name

Age

Does the person have a Support Coordinator * Required

Yes

No

Support Coordinator Email

In Summary, What are Person's Life Goals

Additional Comments

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EIHAB Human Service Corporate Office

168-18 South Conduit Avenue

Springfield Gardens, NY 11434

Tel: (718) 276-6101 | Fax: 718-276-6063

Office Hours: Monday to Friday: 9AM to 5PM

Saturday and Sunday: Closed

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EIHAB Human Services is an Equal Employment Opportunity Employer EEO.
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Our Mission
Everyone, regardless of race, religion, color, gender, age, sexual orientation, or disability deserves the same opportunities for dignity and self-respect. We have a moral mandate to do our utmost to serve those in need, enabling them to achieve self-reliance and help them to take their places as productive members of society.. The individuals we serve deserve genuine caring and excellent services. We want not only to develop programs that serve the under-served and hard to serve communities, but to increase public awareness of their needs.

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