Earn Health Portal

Let's get you the right support

Patient intake takes about 3 minutes. Your answers help us connect you to care and support quickly.

* Required fields

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First name *

Last name *

Best email for updates *

Best phone number for check-ins *

Care & Support Questions

How did you hear about us. *

Are you already an EPIC patient? *

Do you have a care manager? *

How should we reach you? *

What language do you prefer?

How many people are in your household? *

Would transportation support help you get to care? *

Do you have health insurance? *

Do you have trouble going to your appointments?

Do you need help affording medications?

Is the food you receive in the food pantry enough?

Which areas would make staying healthy easier right now? *

* I give permission for the Earn Health team to contact me about support services. If I choose text as my contact method, I agree to receive texts. I can opt out any time.

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