Please complete this form and we will do our best to assist you. You can expect a reply from us within 2 business days (Monday-Friday, holidays excluded).
We will contact you to get a bit more information about the type of service you are looking for. We will then reach out to the WNYPPC independent provider network. Please note that we will do our best to assist you but there are no guarantees as far as availability. Providers in our network function independently and are not employees of WNYPPC.
Do not use this form for emergencies. If you need help right away please call Crisis Services at 716-834-3131 where someone will be able to assist you 24 hours a day, 7 days a week.