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Or 7384 Transmittal of this referral form via facsimile is strictly prohibited. Please print clearly using black or blue ink. REFERRAL INFORMATION TYPES OF ABUSE (Enter check in appropriate box) Referral taken by: Abandonment Mental/Emotional Material/Financial Neglect Physical Sexual Date: Time: Referring Person: Anonymous (Enter check if appropriate) Agency: Other: Self Neglect Phone No.: Contact Person: ALLEGED ABUSER INFORMATION Phone N.
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Prohibited FAQ
This includes, but is not limited to, abandonment, deprivation of food, medication, water, heat, cleanliness, eyeglasses, dentures, or health-related services.
If you or someone you know needs help, please refer them to APS by calling APS Central Intake Unit at 718-557-1399.
WHAT DOES APS DO? Receives reports of alleged abuse, neglect, self-neglect or financial exploitation and determines if the client is eligible. Investigates the allegations through interviewing the client, collateral contacts, alleged abuser(s) and through examining evidence such as medical and bank records.
To report adult abuse, call (within New York State only): 1-844-697-3505 between 8:30 a.m. and 8 p.m. or contact the local, county social services department's Adult Protective Service bureau.
Adult Protective Services (APS) has a similar mission to CPS, but they are charged with protecting the elderly and vulnerable in Washington State. They are often called by family members, medical professional, ambulance workers, and others that work with the elderly and infirm.
To report adult abuse, call (within New York State only): 1-844-697-3505 between 8:30 a.m. and 8 p.m. or contact the local, county social services department's Adult Protective Service bureau.
WHAT DOES APS DO? Receives reports of alleged abuse, neglect, self-neglect or financial exploitation and determines if the client is eligible. Investigates the allegations through interviewing the client, collateral contacts, alleged abuser(s) and through examining evidence such as medical and bank records.
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