Please complete the form below and then submit it by one of the following mechanisms:
By email: NCDMH@niagaracounty.com
By fax: (716) 439-7418
By mail: Attention: Laura Kelemen, LCSW-R, Director
c/o Niagara County Department of Mental Health & Substance Abuse Services
5467 Upper Mountain Rd., Suite 200
Lockport, NY 14094
To ensure your request has been received, you may contact the main office at (716) 439-7410 during normal business hours.