Community Resource Assistance Request Form

Need Support? *photo of 5 diverse parents and their children*

NEED SUPPORT?

We want to work with you to meet your needs. Community Health Workers serve as a
bridge between healthcare and community resources. We can provide:

  • Support and advocacy for your needs
  • Help addressing barriers
  • Healthcare navigation and education
  • Access to health department services such as car seat and infant safe sleep resources, developmental screenings,
    in-home support for caregivers, childcare, WIC, and family resources

If you would like an RCAHD Community Health Worker to contact you about health department or community resources, please complete this form.

By completing the form, you’ll be entered into our secure, coordinated network of community resources, powered by Unite Us*. A specialist will contact you after you submit the form.

Questions? Call us at (540) 283-5050. To cancel or change a health department appointment, please contact the health department where your appointment was scheduled.

*Unite Us is a coordinated community referral network. The goal of the platform is to reduce health disparities experienced across the community by increasing access to non-clinical resources such as housing, food, education, and employment and financial resources.