As Amudim prides itself on maintaining the most up to date information so we can best serve our clients, we ask that you please complete this form, so that we can keep our database as up to date as possible. 

Question for researching programs

Program Location:

Does your program have multiple locations?

Primary Contact Person information:

For Amudim Internal Use Only

Please enter information about your program:

Genders Served
Is this program LGBTQ+ friendly?
Program Type:
For your PHP/IOP does your program offer housing?
Age of clients served
Average length of the program
Areas addressed (select all that apply)
What treatment modalities does your program offer?

Cost of program in USD

Cost of Initial Intake in USD (if applicable)

Do you accept insurance?
Do you work with "Out of Network" providers?
Do you require the client to pay upfront?
Is your program exclusively private pay?
How is insurance billed?
Does your program offer a sliding scale?
Does your program offer a standard discount For Amudim clients?
Does your program assist clients in obtaining Single Case Agreements from their insurance providers?
Does your the program offer scholarships?
Does program offer kosher food?
Is there any added costs for kosher food?
Does your program offer Kosher for Passover food?
Does your program offer any religious programming (including bringing in outside clergy)?