Comsewogue Public Library Community Resource Referral

Hello,

Thanks for visiting the Comsewogue Public Library! Please fill out this form so we can better assist you. Fill out as many of the blanks below as you would like. The more information provided, the faster we may be able to help you but you don’t have to answer every question. We can assist with advice, information and referrals. Jahlisiah is available on Tuesdays from 10:30 – 5:15 pm and Kate is available on Saturdays from 12:30 – 5 pm. We’re available during these hours in-person, by phone (631-743-0004), or Zoom. These appointments are not therapy sessions; referrals will be given to people looking for clinical therapy.

Sincerely,
Kate Bollman & Jahlisiah Scott
SBU Social Work Student Interns

    First Name *

    Your phone number/email/best way to contact you *

    Are there any children in your household? If yes, how many?

    Are you fleeing a domestic violence situation?

    Have you been diagnosed with a mental health issue by a doctor?

    What do you currently need assistance with? (Check all that apply)
    HousingPaying utility billsApplying for benefits (ex: Medicaid, SNAP, SSI/SSD)EducationMedical IssuesMental Health IssuesSubstance UseEmploymentCare Coordination/Case managementOther

    Confidentiality Notice: This document (including any attachments) may contain confidential, proprietary, privileged and/or private information. The information is intended to be for the use of the individual or entity designated above. Any disclosure, reproduction, distribution or other use of this document or any attachments by an individual or entity other than the intended recipient is prohibited.

    COMSEWOGUE PUBLIC LIBRARY
    170 Terryville Road
    Port Jefferson Station, NY 11776
    www.cplib.org

    HOURS
    Monday-Thursday 9:30 am - 9 pm
    Friday-Saturday 9:30 am - 5 pm
    Curbside Pickup Available

    CONTACT
    Phone (631) 928-1212
    Fax (631) 928-6307

    Jobs