get screened for free
Did you know that answering the questions in the form below may open the door to dozens of services including healthy food, rental assistance, help finding and/or keeping housing, and rides to services? Completing this form will help us understand what your needs are and what you may be eligible for under your existing Medicaid coverage.
If you qualify, a member of our team will be in touch. Please note, the information you share will not be saved on our website.
By providing a telephone number and submitting the form, you are consenting to be contacted by SMS text message and agreeing to our Privacy Policy. Message frequency may vary. Message and data rates may apply. Reply STOP to opt out of further messaging. Reply HELP for more information.