If you know you are interested and eligible for services, please feel free to start the services authorization process by completing this form. We will reach out to you to discuss, finalize and set you up with services. Reminder: The Information and Referral service is available to anyone. If this is the only service you are interested in, or eligible for, please use the "contact" form.
This is an example of what information the authorization to disclose information form would contain. You do not need to fill this out.