Intake Assessment

Welcome to OpenAccess Community Health (OACH). This is the first and most important step in beginning your advocacy intake. Our role is to listen, document your concerns, and understand the situation you are experiencing so we can determine how to best support you.

Please begin by sharing the following information.’

Your name, Age, Phone Number, Lacation City/County/State?

Reason for Contacting Us?

Description of the Crisis or Incident?

How long the situation has been occurring?

Any important details about what is happening?

Through this assessment, we gather the information needed to understand your circumstances and evaluate the type of support of guidance that be appropriate.

After you submit your intake form, our team will review your information. Please note:

While we make every effort to respond, we may not be able to contact every individual who submits a request. Your patience and courtesy when completing the intake form are appreciated.

Thank you for taking this step with OpenAccess Community Health.