Here is what you can expect

The Self-Screening form below includes questions that help us learn about you and your needs.

Step 1: Fill out the self-screening form below. This form has 12 questions and takes about 5 minutes to complete.

Step 2: Your information will be reviewed by our Social Care Navigators to see if you qualify for these extra services.

Step 3: If you qualify one of our Social Care Navigators will call you within 5 business days.

Need help? Call us at 607-352-5264