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Services for the UnderServed (S’US) – Brooklyn Respite fax number

(877) 603-5170

Brooklyn Respite (S’US)

Used for: Crisis respite referrals submitted via the NYC crisis respite referral form; the form is faxed to partner centers using the listed fax number 1-877-603-5170.

Fax destination details

Department
Brooklyn Respite (S’US)
Purpose
Crisis respite referrals submitted via the NYC crisis respite referral form; the form is faxed to partner centers using the listed fax number 1-877-603-5170.
Form
Referral form — New York City’s Residential Crisis Support and Respite Referral Form
Address
2118 Union Street, Brooklyn, NY 11212
Voice phone
347-505-0870

Before you send

  • Confirm that this exact department handles your document or request.
  • Check the organization website or call its main line for the current fax number.
  • Include a cover sheet and any case, member, claim, or form reference required.
  • Keep the delivery confirmation with your submission records.

Complete the referral form to request admission to a NYC crisis respite center; include guest details, referral type, and attestation where required, then fax to the designated centers.

Official form instructions are published as a downloadable file on the organization's website.

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