Who should use this page
Individuals, family members, or caregivers may use this request pathway when they need help understanding service options, care coordination needs, or community resource support.
Client Intake
intake
This page is for individuals and families who want to request information about case management, care coordination, resource connection, or community-based support.
Before you submit
The intake request form is available for general follow-up requests. Please do not submit detailed diagnoses, private records, Social Security numbers, Medicaid numbers, or urgent medical concerns through this general website form.
What happens next
Submitted requests are reviewed for general follow-up. Anchored in Grace Case Management will use your preferred contact method when possible.